Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $112.95 / $221.42	Facility		$77.26	$112.95	$221.42
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $130.00 / $130.00 / $147.05	Facility	25	$130.00	$130.00	$147.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $120.00 / $221.42	Professional		$77.70	$120.00	$221.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $144.68 / $185.11	Professional		$119.01	$144.68	$185.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.80 / $139.44 / $220.09	Professional		$108.80	$139.44	$220.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $171.76 / $270.16	Professional		$124.23	$171.76	$270.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.57 / $162.04 / $372.77	Facility		$100.57	$162.04	$372.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.40 / $161.44 / $827.90	Professional		$117.40	$161.44	$827.90
United Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $145.94 / $220.63	Professional		$114.26	$145.94	$220.63