Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.50 / $71.13 / $160.06	Facility		$42.50	$71.13	$160.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $184.37 / $184.37 / $184.37	Facility	25	$184.37	$184.37	$184.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $63.11 / $85.03	Professional		$39.10	$63.11	$85.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $54.93 / $79.02 / $233.00	Professional	25	$54.93	$79.02	$233.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $77.12 / $88.24	Professional		$55.56	$77.12	$88.24
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.55 / $67.66 / $70.18	Professional	25	$55.55	$67.66	$70.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $68.95 / $94.68	Professional		$47.60	$68.95	$94.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.00 / $135.00	Facility		$100.00	$125.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $73.58 / $105.74	Professional		$47.80	$73.58	$105.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $74.90 / $113.37	Facility		$39.50	$74.90	$113.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $83.25 / $456.37	Professional		$64.09	$83.25	$456.37
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $49.82 / $72.23 / $96.31	Professional	25	$49.82	$72.23	$96.31
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $77.23 / $103.49	Professional		$61.78	$77.23	$103.49