Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $218.78	Professional		$57.54	$104.71	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $28.84 / $134.90 / $257.04	Professional	25	$28.84	$134.90	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $125.89	Professional		$95.50	$112.20	$125.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $83.18 / $120.23 / $154.88	Professional	25	$83.18	$120.23	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $138.04	Professional		$60.26	$131.83	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $204.17	Professional		$63.10	$100.00	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $97.72 / $204.17	Facility		$60.26	$97.72	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $794.33	Professional		$93.33	$128.82	$794.33
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $24.55 / $123.03 / $229.09	Professional	25	$24.55	$123.03	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $141.25	Professional		$60.26	$93.33	$141.25