Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $159.68 / $229.83	Facility		$108.16	$159.68	$229.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $140.90 / $212.87	Professional		$106.86	$140.90	$212.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $122.27 / $175.93 / $525.29	Professional	25	$122.27	$175.93	$525.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $154.11 / $198.00	Professional		$130.00	$154.11	$198.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $123.56 / $154.11 / $208.05	Professional	25	$123.56	$154.11	$208.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $162.77 / $220.11	Professional		$131.60	$162.77	$220.11
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 $124.73 / $171.91 / $244.75	Professional		$124.73	$171.91	$244.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.16 / $181.99 / $257.00	Facility		$108.16	$181.99	$257.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $185.83 / $1,041.60	Professional		$142.03	$185.83	$1,041.60
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $150.74 / $174.29 / $217.18	Professional	25	$150.74	$174.29	$217.18
United Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $188.95 / $234.30	Facility		$125.15	$188.95	$234.30
United Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $167.09 / $224.49	Professional		$133.66	$167.09	$224.49