Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.07 / $181.39 / $362.00	Facility		$116.07	$181.39	$362.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $113.90 / $460.57 / $930.44	Facility	25	$113.90	$460.57	$930.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $152.66 / $340.00	Professional		$90.00	$152.66	$340.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $108.31 / $206.71 / $475.00	Professional	25	$108.31	$206.71	$475.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.74 / $188.00 / $256.89	Professional		$136.74	$188.00	$256.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $164.43 / $197.32 / $256.89	Professional	25	$164.43	$197.32	$256.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.51 / $145.94 / $215.00	Professional		$108.51	$145.94	$215.00
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 $121.51 / $176.54 / $279.64	Professional		$121.51	$176.54	$279.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.65 / $171.52 / $282.76	Facility		$106.65	$171.52	$282.76
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $636.00 / $636.00 / $709.00	Facility	25	$636.00	$636.00	$709.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $195.86 / $1,127.38	Professional		$126.08	$195.86	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $155.01 / $216.66 / $302.45	Professional	25	$155.01	$216.66	$302.45
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.90 / $226.91 / $310.06	Professional		$160.90	$226.91	$310.06
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $166.08 / $216.34 / $216.34	Professional	25	$166.08	$216.34	$216.34
United Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $157.81 / $255.74	Professional		$119.16	$157.81	$255.74