Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $152.06 / $196.15	Facility		$112.56	$152.06	$196.15
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $590.08 / $590.08 / $590.08	Facility	25	$590.08	$590.08	$590.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $128.16 / $222.00	Professional		$97.00	$128.16	$222.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $110.41 / $148.68 / $320.00	Professional	25	$110.41	$148.68	$320.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $135.56 / $184.72	Professional		$117.88	$135.56	$184.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.89 / $178.68 / $178.68	Professional	25	$122.89	$178.68	$178.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $116.95 / $153.29	Professional		$87.17	$116.95	$153.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.11 / $157.91 / $266.00	Facility		$117.11	$157.91	$266.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $138.11 / $818.99	Professional		$102.81	$138.11	$818.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $169.43 / $169.43	Professional		$138.25	$169.43	$169.43
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $205.48 / $205.48 / $205.48	Professional	25	$205.48	$205.48	$205.48
United Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $135.34 / $209.65	Professional		$102.81	$135.34	$209.65