Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.10 / $142.86 / $270.43	Facility		$98.10	$142.86	$270.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $164.99 / $302.99	Professional		$110.53	$164.99	$302.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $202.29 / $240.52 / $292.36	Professional	25	$202.29	$240.52	$292.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.22 / $158.22 / $181.95	Professional		$158.22	$158.22	$181.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $204.75 / $204.75 / $204.75	Professional	25	$204.75	$204.75	$204.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.03 / $129.88 / $244.98	Professional		$87.03	$129.88	$244.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $201.49 / $319.93	Professional		$134.88	$201.49	$319.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $171.56 / $345.72	Facility		$110.53	$171.56	$345.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $228.73 / $1,291.38	Professional		$153.16	$228.73	$1,291.38
United Facility/Professional Professional Modifier Low / Median / High Price $137.54 / $197.05 / $293.38	Professional		$137.54	$197.05	$293.38