Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.47 / $90.28 / $240.00	Facility		$62.47	$90.28	$240.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $89.44 / $159.80 / $250.50	Facility	25	$89.44	$159.80	$250.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $88.48 / $122.95	Professional		$61.02	$88.48	$122.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.05 / $95.62 / $134.44	Professional	25	$64.05	$95.62	$134.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $103.87 / $147.22	Professional		$75.97	$103.87	$147.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $78.51 / $101.73 / $122.08	Professional	25	$78.51	$101.73	$122.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.95 / $101.00 / $101.00	Facility		$95.95	$101.00	$101.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $103.04 / $141.47	Professional		$87.58	$103.04	$141.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $165.00 / $191.00	Facility		$120.00	$165.00	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $124.97 / $189.19	Professional		$81.44	$124.97	$189.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $102.60 / $154.78	Facility		$69.98	$102.60	$154.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $142.16 / $699.27	Professional		$103.88	$142.16	$699.27
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $102.36 / $150.97 / $180.83	Professional	25	$102.36	$150.97	$180.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $116.39 / $167.30	Professional		$102.96	$116.39	$167.30