Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.07 / $134.00 / $260.12	Facility		$86.07	$134.00	$260.12
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $216.75 / $442.92 / $442.92	Facility	25	$216.75	$442.92	$442.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.72 / $135.87 / $199.30	Professional		$95.72	$135.87	$199.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $93.10 / $151.94 / $204.98	Professional	25	$93.10	$151.94	$204.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.99 / $153.06 / $204.25	Professional		$121.99	$153.06	$204.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $135.63 / $158.59 / $198.98	Professional	25	$135.63	$158.59	$198.98
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 $145.54 / $171.22 / $213.04	Professional		$145.54	$171.22	$213.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $165.00 / $200.88	Facility		$120.00	$165.00	$200.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $193.99 / $287.88	Professional		$131.71	$193.99	$287.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.61 / $161.33 / $238.14	Facility		$112.61	$161.33	$238.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $212.22 / $1,041.60	Professional		$158.74	$212.22	$1,041.60
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $185.61 / $272.67 / $286.08	Professional	25	$185.61	$272.67	$286.08
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $150.32 / $177.65 / $259.20	Professional		$150.32	$177.65	$259.20