Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $190.55	Facility		$66.07	$97.72	$190.55
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $61.66 / $89.13 / $239.88	Facility	25	$61.66	$89.13	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $97.72 / $204.17	Professional		$64.57	$97.72	$204.17
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $109.65 / $234.42	Professional	25	$67.61	$109.65	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $147.91	Professional		$77.62	$109.65	$147.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $109.65 / $154.88	Professional	25	$87.10	$109.65	$154.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $100.00 / $100.00	Facility		$95.50	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $141.25	Professional		$95.50	$102.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $190.55	Facility		$95.50	$151.36	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $181.97	Professional		$77.62	$109.65	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $158.49	Facility		$67.61	$102.33	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $691.83	Professional		$97.72	$138.04	$691.83
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $131.83 / $181.97	Professional	25	$102.33	$131.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $93.33	Facility		$69.18	$91.20	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $144.54	Professional		$74.13	$104.71	$144.54