Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $281.84	Professional		$72.44	$125.89	$281.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $173.78 / $316.23	Professional	25	$138.04	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.90 / $141.25	Professional		$112.20	$134.90	$141.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $112.20 / $117.49 / $194.98	Professional	25	$112.20	$117.49	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $165.96	Professional		$70.79	$158.49	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $257.04	Professional		$77.62	$123.03	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $125.89 / $239.88	Facility		$75.86	$125.89	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $954.99	Professional		$114.82	$158.49	$954.99
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	25	$295.12	$295.12	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $169.82	Professional		$75.86	$112.20	$169.82