Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $73.76 / $108.75	Professional		$42.30	$73.76	$108.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.36 / $97.93 / $103.55	Professional	25	$85.36	$97.93	$103.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.84 / $75.50 / $117.45	Professional		$37.84	$75.50	$117.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.72 / $71.31 / $104.24	Professional	25	$58.72	$71.31	$104.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $47.07 / $51.78	Facility		$47.07	$47.07	$51.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $56.57 / $95.57	Professional		$29.25	$56.57	$95.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $65.72 / $131.72	Professional		$41.69	$65.72	$131.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $64.65 / $122.64	Facility		$38.40	$64.65	$122.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $84.66 / $563.47	Professional		$64.40	$84.66	$563.47
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $82.75 / $96.16 / $185.58	Professional	25	$82.75	$96.16	$185.58
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $76.38 / $117.63	Professional		$58.88	$76.38	$117.63