Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $416.87 / $4,073.80	Facility		$52.48	$416.87	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $251.19	Professional		$30.20	$85.11	$251.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $69.18 / $69.18	Professional	25	$69.18	$69.18	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $42.66 / $87.10	Professional		$22.39	$42.66	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $120.23	Professional		$25.12	$57.54	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $87.10 / $114.82	Professional		$32.36	$87.10	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $52.48 / $138.04	Professional		$21.88	$52.48	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $128.82 / $933.25	Facility		$37.15	$128.82	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $645.65	Professional		$58.88	$89.13	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $707.95 / $1,778.28	Facility		$338.84	$707.95	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $97.72	Professional		$24.55	$51.29	$97.72