Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $120.23	Professional		$38.02	$67.61	$120.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $162.18 / $173.78	Professional	25	$91.20	$162.18	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $112.20	Professional		$42.66	$75.86	$112.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	25	$72.44	$72.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $93.33	Professional		$43.65	$79.43	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $123.03	Professional		$39.81	$64.57	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $134.90	Facility		$41.69	$70.79	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $549.54	Professional		$63.10	$85.11	$549.54
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $79.43 / $79.43 / $165.96	Professional	25	$79.43	$79.43	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $91.20	Professional		$38.90	$58.88	$91.20