Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $398.11 / $2,570.40	Facility		$218.78	$398.11	$2,570.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,023.29 / $2,570.40 / $3,981.07	Facility	25	$1,023.29	$2,570.40	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $812.83	Professional		$169.82	$257.04	$812.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $363.08 / $1,023.29	Professional	25	$190.55	$363.08	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $331.13	Professional		$186.21	$239.88	$331.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $204.17 / $257.04 / $407.38	Professional	25	$204.17	$257.04	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $436.52	Professional		$204.17	$269.15	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $389.05	Professional		$199.53	$302.00	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $489.78	Professional		$213.80	$302.00	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $501.19	Facility		$173.78	$269.15	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $1,737.80	Professional		$245.47	$371.54	$1,737.80
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $245.47 / $281.84 / $354.81	Professional	25	$245.47	$281.84	$354.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $346.74	Professional		$218.78	$245.47	$346.74
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	25	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $5,248.07	Facility		$1,548.82	$2,691.53	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $407.38	Professional		$190.55	$269.15	$407.38