Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $84.99 / $122.06	Professional		$59.00	$84.99	$122.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $90.99 / $94.41 / $96.86	Professional	25	$90.99	$94.41	$96.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $140.88 / $148.54	Professional		$112.70	$140.88	$148.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.81 / $104.81 / $112.70	Professional	25	$104.81	$104.81	$112.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $119.35 / $163.88	Professional		$74.55	$119.35	$163.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $89.93 / $156.47	Professional		$55.00	$89.93	$156.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $95.68 / $146.88	Facility		$65.48	$95.68	$146.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $119.15 / $476.78	Professional		$101.46	$119.15	$476.78
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $113.96 / $114.96 / $150.53	Professional	25	$113.96	$114.96	$150.53
United Facility/Professional Professional Modifier Low / Median / High Price $96.50 / $115.31 / $140.93	Professional		$96.50	$115.31	$140.93