Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.93 / $92.20 / $135.24	Facility		$65.93	$92.20	$135.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $306.52 / $306.52 / $306.52	Facility	25	$306.52	$306.52	$306.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $92.21 / $135.24	Professional		$65.93	$92.21	$135.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.48 / $109.27 / $325.55	Professional	25	$66.48	$109.27	$325.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $120.78 / $133.07	Professional		$92.13	$120.78	$133.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.84 / $102.36 / $127.95	Professional	25	$75.84	$102.36	$127.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.84 / $108.40 / $146.58	Professional		$80.84	$108.40	$146.58
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 $78.06 / $111.76 / $159.10	Professional		$78.06	$111.76	$159.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $113.59 / $171.07	Facility		$66.73	$113.59	$171.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.95 / $120.70 / $699.27	Professional		$92.95	$120.70	$699.27
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $94.67 / $122.83 / $142.35	Professional	25	$94.67	$122.83	$142.35
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $109.35 / $146.91	Professional		$87.48	$109.35	$146.91