Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $44.86 / $327.31	Facility		$31.96	$44.86	$327.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $37.59 / $67.33	Professional		$25.37	$37.59	$67.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $56.35 / $172.00	Professional	25	$39.76	$56.35	$172.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.96 / $15.66 / $22.11	Professional	52	$11.96	$15.66	$22.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $41.05 / $57.75	Professional		$36.54	$41.05	$57.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $35.54 / $35.54 / $35.54	Professional	25	$35.54	$35.54	$35.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $14.50 / $43.86	Professional		$5.00	$14.50	$43.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $36.14	Professional		$34.82	$34.82	$36.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $40.39 / $72.02	Facility		$25.71	$40.39	$72.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.28 / $56.00 / $245.75	Professional		$35.28	$56.00	$245.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $45.53 / $60.08 / $60.08	Professional		$45.53	$60.08	$60.08
United Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $44.48 / $72.59	Professional		$30.56	$44.48	$72.59