Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.10 / $238.42 / $366.41	Facility		$119.10	$238.42	$366.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $230.60 / $370.00	Professional		$150.68	$230.60	$370.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $246.91 / $355.57 / $463.84	Professional	25	$246.91	$355.57	$463.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.89 / $232.02 / $290.27	Professional		$174.89	$232.02	$290.27
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $252.41 / $252.41 / $252.41	Professional	25	$252.41	$252.41	$252.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $184.75 / $359.28	Professional		$126.25	$184.75	$359.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $282.99 / $435.73	Professional		$185.44	$282.99	$435.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.68 / $232.46 / $451.34	Facility		$150.68	$232.46	$451.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.85 / $313.27 / $1,741.13	Professional		$209.85	$313.27	$1,741.13
United Facility/Professional Professional Modifier Low / Median / High Price $196.59 / $285.20 / $413.45	Professional		$196.59	$285.20	$413.45