Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $141.25	Professional		$60.26	$93.33	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $95.50 / $97.72	Professional	25	$91.20	$95.50	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $147.91	Professional		$104.71	$112.20	$147.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $117.49 / $117.49	Professional	25	$104.71	$117.49	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $173.78	Professional		$74.13	$120.23	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $162.18	Professional		$64.57	$100.00	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $93.33 / $134.90	Facility		$64.57	$93.33	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $478.63	Professional		$100.00	$123.03	$478.63
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $114.82 / $114.82 / $141.25	Professional	25	$114.82	$114.82	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $100.00	Facility		$69.18	$69.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $134.90	Professional		$64.57	$89.13	$134.90