Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.08 / $42.00 / $144.72	Facility		$9.08	$42.00	$144.72
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $25.20 / $73.45 / $141.75	Facility	25	$25.20	$73.45	$141.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $18.57 / $39.56	Professional		$6.17	$18.57	$39.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.17 / $32.51 / $78.97	Professional	25	$19.17	$32.51	$78.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $24.37 / $32.67	Professional		$18.28	$24.37	$32.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.18 / $21.85 / $24.94	Professional	25	$19.18	$21.85	$24.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $17.51 / $28.10	Professional		$8.59	$17.51	$28.10
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 $9.47 / $20.34 / $37.28	Professional		$9.47	$20.34	$37.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $16.87 / $35.97	Facility		$7.34	$16.87	$35.97
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $100.32 / $100.32 / $108.33	Facility	25	$100.32	$100.32	$108.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $29.75 / $489.00	Professional		$18.66	$29.75	$489.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $26.46 / $26.46 / $30.21	Professional	25	$26.46	$26.46	$30.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $39.42 / $39.42	Professional		$28.69	$39.42	$39.42
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $23.21 / $27.04 / $27.04	Professional	25	$23.21	$27.04	$27.04
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $24.32 / $36.42	Professional		$17.07	$24.32	$36.42