Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.06 / $135.31 / $203.28	Facility		$130.06	$135.31	$203.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $100.88 / $140.93	Professional		$67.31	$100.88	$140.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $405.60 / $405.60 / $405.60	Professional	25	$405.60	$405.60	$405.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $195.20 / $195.20	Professional		$142.72	$195.20	$195.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $90.57 / $160.88	Professional		$54.42	$90.57	$160.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $149.35 / $252.51	Professional		$92.50	$149.35	$252.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.53 / $116.96 / $185.57	Facility		$79.53	$116.96	$185.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $176.77 / $920.04	Professional		$111.05	$176.77	$920.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $164.14 / $164.14	Professional		$164.14	$164.14	$164.14
United Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $142.78 / $208.67	Professional		$103.40	$142.78	$208.67