Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $381.22 / $4,111.00	Facility		$52.65	$381.22	$4,111.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $72.98 / $191.83	Professional		$26.57	$72.98	$191.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.75 / $68.75 / $68.75	Professional	25	$68.75	$68.75	$68.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.70 / $95.04	Professional		$26.30	$42.70	$95.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $459.00 / $513.00	Facility		$331.00	$459.00	$513.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $57.21 / $116.11	Professional		$24.87	$57.21	$116.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.83 / $157.83 / $157.83	Facility		$157.83	$157.83	$157.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $52.92 / $137.18	Professional		$22.01	$52.92	$137.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.52 / $104.18 / $875.00	Facility		$36.52	$104.18	$875.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $86.96 / $651.16	Professional		$58.65	$86.96	$651.16
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $875.00 / $1,351.00	Facility		$245.00	$875.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.65 / $84.06 / $149.19	Professional		$58.65	$84.06	$149.19