Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $105.57 / $151.37	Professional		$63.35	$105.57	$151.37
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.70 / $133.65 / $443.00	Professional	25	$27.70	$133.65	$443.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.15 / $101.10 / $107.05	Professional		$95.15	$101.10	$107.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $83.26 / $95.15 / $166.52	Professional	25	$83.26	$95.15	$166.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $72.30 / $79.53	Facility		$72.30	$72.30	$79.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $79.11 / $135.33	Professional		$47.20	$79.11	$135.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $97.21 / $199.01	Professional		$62.20	$97.21	$199.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.62 / $96.29 / $182.00	Facility		$60.62	$96.29	$182.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $120.70 / $797.90	Professional		$93.45	$120.70	$797.90
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $24.68 / $124.25 / $229.23	Professional	25	$24.68	$124.25	$229.23
United Facility/Professional Professional Modifier Low / Median / High Price $90.78 / $110.05 / $174.99	Professional		$90.78	$110.05	$174.99