Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.15 / $874.00 / $2,553.04	Facility		$226.15	$874.00	$2,553.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $993.08 / $1,545.36 / $3,279.09	Facility	25	$993.08	$1,545.36	$3,279.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $231.37 / $714.88	Professional		$166.14	$231.37	$714.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $185.44 / $328.08 / $872.97	Professional	25	$185.44	$328.08	$872.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.86 / $267.06 / $455.37	Professional		$194.86	$267.06	$455.37
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $203.43 / $274.63 / $457.72	Professional	25	$203.43	$274.63	$457.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.07 / $268.67 / $436.49	Professional		$206.07	$268.67	$436.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.13 / $314.29 / $534.86	Professional		$218.13	$314.29	$534.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.23 / $275.66 / $476.78	Facility		$172.23	$275.66	$476.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $370.79 / $1,733.52	Professional		$242.73	$370.79	$1,733.52
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $255.18 / $279.67 / $356.22	Professional	25	$255.18	$279.67	$356.22
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $349.75 / $526.38 / $526.38	Professional		$349.75	$526.38	$526.38
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $257.81 / $324.36 / $349.75	Professional	25	$257.81	$324.36	$349.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,460.21 / $4,460.21 / $5,433.52	Facility		$4,460.21	$4,460.21	$5,433.52
United Facility/Professional Professional Modifier Low / Median / High Price $228.31 / $298.42 / $489.79	Professional		$228.31	$298.42	$489.79