Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $776.25 / $977.24	Facility		$46.77	$776.25	$977.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $398.11 / $870.96 / $1,202.26	Facility	25	$398.11	$870.96	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $128.82	Professional		$30.20	$54.95	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $43.65 / $69.18	Professional		$35.48	$43.65	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $72.44	Professional		$36.31	$45.71	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $58.88	Professional		$39.81	$44.67	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $87.10	Professional		$36.31	$52.48	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $52.48 / $89.13	Facility		$30.90	$52.48	$89.13
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	25	$181.97	$181.97	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $501.19	Professional		$37.15	$52.48	$501.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $70.79	Professional		$42.66	$51.29	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Facility		$812.83	$812.83	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $70.79	Professional		$33.11	$45.71	$70.79