Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $158.49 / $229.09	Facility		$107.15	$158.49	$229.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	25	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $416.87	Professional		$107.15	$169.82	$416.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $120.23 / $190.55 / $501.19	Professional	25	$120.23	$190.55	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $213.80	Professional		$117.49	$158.49	$213.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $165.96 / $213.80	Professional	25	$128.82	$165.96	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $218.78	Professional		$131.83	$158.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $144.54	Facility		$100.00	$125.89	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $245.47	Professional		$123.03	$165.96	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $257.04	Facility		$107.15	$165.96	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $1,047.13	Professional		$138.04	$190.55	$1,047.13
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $165.96 / $204.17	Professional	25	$138.04	$165.96	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $158.49	Facility		$114.82	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $208.93	Professional		$112.20	$151.36	$208.93