Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $96.15 / $113.83	Facility		$58.15	$96.15	$113.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $97.38 / $159.00	Professional		$58.90	$97.38	$159.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.59 / $117.74 / $189.27	Professional	25	$68.59	$117.74	$189.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $140.74 / $175.56	Professional		$102.81	$140.74	$175.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $83.26 / $132.65 / $184.25	Professional	25	$83.26	$132.65	$184.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $85.85 / $142.91	Professional		$65.40	$85.85	$142.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $115.30 / $209.70	Professional		$63.20	$115.30	$209.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $108.06 / $216.12	Facility		$58.16	$108.06	$216.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.89 / $140.56 / $797.90	Professional		$90.89	$140.56	$797.90
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $133.09 / $152.16 / $248.60	Professional	25	$133.09	$152.16	$248.60
United Facility/Professional Professional Modifier Low / Median / High Price $88.79 / $121.71 / $164.39	Professional		$88.79	$121.71	$164.39