Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $120.83 / $123.07	Facility		$95.27	$120.83	$123.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $63.50 / $158.99	Professional		$50.33	$63.50	$158.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.45 / $122.70 / $209.60	Professional	25	$57.45	$122.70	$209.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $101.05 / $101.05	Professional		$90.01	$101.05	$101.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.89 / $85.89 / $85.89	Professional	25	$85.89	$85.89	$85.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $76.44 / $130.18	Professional		$37.00	$76.44	$130.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $91.22 / $139.56	Professional		$67.05	$91.22	$139.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.33 / $79.98 / $125.62	Facility		$50.33	$79.98	$125.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.63 / $97.79 / $454.95	Professional		$66.63	$97.79	$454.95
United Facility/Professional Professional Modifier Low / Median / High Price $62.53 / $80.43 / $120.01	Professional		$62.53	$80.43	$120.01
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07