Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $97.38 / $154.94	Professional		$58.90	$97.38	$154.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.00 / $110.54 / $133.52	Professional	25	$75.00	$110.54	$133.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.81 / $105.51 / $130.47	Professional		$102.81	$105.51	$130.47
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $79.58 / $79.58 / $79.58	Professional	25	$79.58	$79.58	$79.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $106.19 / $144.29	Professional		$106.19	$106.19	$144.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.37 / $115.63 / $179.10	Professional		$68.37	$115.63	$179.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.16 / $96.15 / $154.94	Facility		$58.16	$96.15	$154.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $132.51 / $797.90	Professional		$102.50	$132.51	$797.90
United Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $129.53 / $160.15	Professional		$102.50	$129.53	$160.15