Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $158.49 / $831.76	Facility		$54.95	$158.49	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $56.23	Professional		$12.88	$22.39	$56.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.62 / $31.62 / $31.62	Professional	25	$31.62	$31.62	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $19.50	Professional		$10.47	$12.88	$19.50
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $13.18 / $13.18 / $13.18	Professional	50	$13.18	$13.18	$13.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $18.20	Professional		$13.18	$16.60	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $251.19	Facility		$23.99	$23.99	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $38.02	Professional		$16.22	$28.18	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $57.54 / $151.36	Facility		$14.13	$57.54	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $26.30	Professional		$12.02	$19.50	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $112.20 / $186.21	Facility		$31.62	$112.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $19.50 / $26.30	Professional		$11.48	$19.50	$26.30