Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $147.86 / $147.86 / $147.86	Facility	25	$147.86	$147.86	$147.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $148.72 / $246.90	Professional		$109.12	$148.72	$246.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $227.85 / $250.78 / $404.00	Professional	25	$227.85	$250.78	$404.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $235.16 / $246.80	Professional		$235.16	$235.16	$246.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.49 / $156.49 / $156.49	Professional	25	$156.49	$156.49	$156.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $130.61 / $188.00	Professional		$75.00	$130.61	$188.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $152.51	Professional		$147.90	$147.90	$152.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.70 / $179.64 / $315.24	Facility		$120.70	$179.64	$315.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $194.85 / $1,045.69	Professional		$124.80	$194.85	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $168.54 / $261.27	Professional		$117.98	$168.54	$261.27