Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.66 / $879.42 / $1,533.81	Facility		$133.66	$879.42	$1,533.81
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $624.34 / $925.99 / $2,093.71	Facility	25	$624.34	$925.99	$2,093.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $102.83 / $197.97	Professional		$72.45	$102.83	$197.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $100.77 / $159.54 / $424.08	Professional	25	$100.77	$159.54	$424.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $154.25 / $346.23	Professional		$113.60	$154.25	$346.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $113.60 / $146.58 / $259.89	Professional	25	$113.60	$146.58	$259.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.39 / $134.03 / $231.86	Professional		$105.39	$134.03	$231.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $159.02 / $275.05	Professional		$114.43	$159.02	$275.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.06 / $151.77 / $257.27	Facility		$96.06	$151.77	$257.27
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $279.80 / $516.04 / $920.78	Facility	25	$279.80	$516.04	$920.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $157.19 / $748.12	Professional		$108.64	$157.19	$748.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $139.82 / $183.61 / $398.84	Professional	25	$139.82	$183.61	$398.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $168.80 / $198.59	Professional		$156.77	$168.80	$198.59
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $146.50 / $146.50 / $198.59	Professional	25	$146.50	$146.50	$198.59
United Facility/Professional Professional Modifier Low / Median / High Price $98.89 / $128.08 / $206.17	Professional		$98.89	$128.08	$206.17