Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $257.04	Facility		$107.15	$194.98	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $251.19	Professional		$107.15	$158.49	$251.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $186.21 / $186.21 / $186.21	Professional	25	$186.21	$186.21	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $190.55	Professional		$138.04	$162.18	$190.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $158.49 / $181.97	Professional	25	$138.04	$158.49	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $263.03	Professional		$123.03	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $346.74	Professional		$151.36	$239.88	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $398.11 / $812.83	Facility		$165.96	$398.11	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $281.84	Professional		$138.04	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Facility		$128.82	$128.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $281.84	Professional		$138.04	$173.78	$281.84