Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.27 / $92.40 / $216.27	Facility		$41.27	$92.40	$216.27
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $92.40 / $92.40 / $200.00	Facility	25	$92.40	$92.40	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $63.77 / $140.36	Professional		$33.84	$63.77	$140.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.84 / $89.56 / $180.00	Professional	25	$54.84	$89.56	$180.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $77.42 / $101.73	Professional		$44.59	$77.42	$101.73
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.58 / $65.30 / $81.66	Professional	25	$58.58	$65.30	$81.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $64.39 / $100.21	Professional		$46.85	$64.39	$100.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $148.00 / $200.00	Facility		$120.00	$148.00	$200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $76.00 / $127.83	Professional		$51.70	$76.00	$127.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $65.81 / $118.29	Facility		$39.14	$65.81	$118.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.03 / $97.42 / $456.37	Professional		$65.03	$97.42	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $48.03 / $69.25 / $82.87	Professional	25	$48.03	$69.25	$82.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $63.07 / $111.08	Professional		$63.07	$63.07	$111.08
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $34.50 / $34.50 / $111.08	Professional	25	$34.50	$34.50	$111.08
United Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $79.63 / $117.43	Professional		$61.58	$79.63	$117.43