Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.72 / $235.04 / $344.22	Facility		$168.72	$235.04	$344.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $167.44 / $270.69	Professional		$136.37	$167.44	$270.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $176.17 / $256.83 / $425.00	Professional	25	$176.17	$256.83	$425.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $156.18 / $199.50	Professional		$151.37	$156.18	$199.50
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.18 / $156.18 / $156.18	Professional	25	$156.18	$156.18	$156.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $160.10 / $214.33	Professional		$131.40	$160.10	$214.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.99 / $210.82 / $355.10	Facility		$151.99	$210.82	$355.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $204.61 / $1,045.69	Professional		$151.59	$204.61	$1,045.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $250.53 / $250.53	Professional		$250.53	$250.53	$250.53
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $262.07 / $262.07 / $262.07	Professional	25	$262.07	$262.07	$262.07
United Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $188.65 / $271.77	Professional		$151.55	$188.65	$271.77