Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $239.88 / $2,290.87	Facility		$125.89	$239.88	$2,290.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $199.53 / $199.53 / $14,791.08	Facility	25	$199.53	$199.53	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $954.99	Professional		$91.20	$199.53	$954.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $123.03 / $446.68 / $2,238.72	Professional	25	$123.03	$446.68	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $151.36	Professional		$97.72	$117.49	$151.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $100.00 / $138.04 / $181.97	Professional	25	$100.00	$138.04	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $204.17	Professional		$100.00	$123.03	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $186.21	Professional		$100.00	$131.83	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $229.09	Professional		$102.33	$141.25	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $125.89 / $229.09	Facility		$85.11	$125.89	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $1,174.90	Professional		$109.65	$177.83	$1,174.90
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $147.91 / $147.91 / $177.83	Professional	25	$147.91	$147.91	$177.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $190.55	Professional		$95.50	$125.89	$190.55