Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.14 / $68.34 / $106.25	Professional		$39.14	$68.34	$106.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.00 / $84.41 / $91.91	Professional	25	$75.00	$84.41	$91.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $74.22 / $118.23	Professional		$52.68	$74.22	$118.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $76.77 / $76.77 / $76.77	Professional	25	$76.77	$76.77	$76.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $66.17 / $109.12	Professional		$66.17	$66.17	$109.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.41 / $80.78 / $126.23	Professional		$48.41	$80.78	$126.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.97 / $68.34 / $109.73	Facility		$40.97	$68.34	$109.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $92.81 / $563.47	Professional		$70.59	$92.81	$563.47
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $81.68 / $81.68 / $81.68	Professional	25	$81.68	$81.68	$81.68
United Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $83.57 / $110.85	Professional		$46.91	$83.57	$110.85