Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $54.57 / $200.00	Facility		$35.81	$54.57	$200.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $200.00 / $200.00 / $200.00	Facility	25	$200.00	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $55.53 / $81.69	Professional		$35.38	$55.53	$81.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.16 / $65.30 / $87.90	Professional	25	$41.16	$65.30	$87.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $65.30 / $102.68	Professional		$44.42	$65.30	$102.68
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.50 / $65.30 / $73.81	Professional	25	$55.50	$65.30	$73.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.29 / $67.67 / $67.67	Facility		$64.29	$67.67	$67.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $66.26 / $96.70	Professional		$56.32	$66.26	$96.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $165.00 / $191.00	Facility		$95.00	$165.00	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $80.36 / $130.61	Professional		$51.95	$80.36	$130.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $67.98 / $105.15	Facility		$40.58	$67.98	$105.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $96.36 / $456.37	Professional		$71.81	$96.36	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $65.23 / $65.23 / $128.06	Professional	25	$65.23	$65.23	$128.06
United Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $80.66 / $115.54	Professional		$67.06	$80.66	$115.54