Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $86.29 / $905.65	Facility		$30.35	$86.29	$905.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $16.54 / $81.00 / $1,358.86	Facility	25	$16.54	$81.00	$1,358.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.95 / $66.15 / $150.00	Professional		$37.95	$66.15	$150.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.75 / $86.32 / $233.00	Professional	25	$58.75	$86.32	$233.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $68.59 / $96.04	Professional		$44.63	$68.59	$96.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $54.88 / $58.31 / $96.04	Professional	25	$54.88	$58.31	$96.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $18.16 / $38.81	Facility		$18.16	$18.16	$38.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $44.06 / $59.19	Professional		$35.25	$44.06	$59.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $110.00 / $179.00	Facility		$62.64	$110.00	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $69.22 / $136.31	Professional		$42.49	$69.22	$136.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.27 / $64.20 / $113.94	Facility		$39.27	$64.20	$113.94
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,543.48 / $1,543.48 / $1,577.74	Facility	25	$1,543.48	$1,543.48	$1,577.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $83.46 / $456.37	Professional		$61.77	$83.46	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $70.62 / $163.58 / $186.44	Professional	25	$70.62	$163.58	$186.44
United Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $72.76 / $137.75	Professional		$59.48	$72.76	$137.75