Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.39 / $197.54 / $987.87	Facility		$59.39	$197.54	$987.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.38 / $722.70 / $1,275.17	Facility	25	$58.38	$722.70	$1,275.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $101.89 / $254.96	Professional		$63.90	$101.89	$254.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.48 / $125.81 / $352.00	Professional	25	$66.48	$125.81	$352.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.68 / $106.95 / $149.72	Professional		$77.68	$106.95	$149.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $74.87 / $101.60 / $145.00	Professional	25	$74.87	$101.60	$145.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $44.99 / $78.83	Facility		$21.85	$44.99	$78.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $78.84 / $92.19	Professional		$61.56	$78.84	$92.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $115.00 / $179.00	Facility		$95.00	$115.00	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $103.20 / $198.78	Professional		$70.05	$103.20	$198.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $98.39 / $173.69	Facility		$68.59	$98.39	$173.69
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $210.33 / $210.33 / $210.33	Facility	25	$210.33	$210.33	$210.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $124.23 / $699.27	Professional		$89.43	$124.23	$699.27
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $89.25 / $143.25 / $252.21	Professional	25	$89.25	$143.25	$252.21
United Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $103.37 / $197.70	Professional		$85.76	$103.37	$197.70