Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.92 / $118.78 / $163.68	Professional		$72.92	$118.78	$163.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.00 / $126.07 / $156.06	Professional	25	$75.00	$126.07	$156.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $134.59 / $200.06	Professional		$125.17	$134.59	$200.06
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $98.83 / $125.17 / $125.17	Professional	25	$98.83	$125.17	$125.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $120.86 / $181.25	Professional		$120.86	$120.86	$181.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $143.80 / $215.09	Professional		$78.17	$143.80	$215.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $117.42 / $184.14	Facility		$72.00	$117.42	$184.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $158.53 / $944.28	Professional		$122.13	$158.53	$944.28
United Facility/Professional Professional Modifier Low / Median / High Price $93.66 / $140.29 / $182.61	Professional		$93.66	$140.29	$182.61