Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $182.96 / $2,132.44	Facility		$131.63	$182.96	$2,132.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $643.42 / $1,162.43 / $2,002.90	Facility	25	$643.42	$1,162.43	$2,002.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $194.62 / $523.76	Professional		$135.41	$194.62	$523.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $156.97 / $262.11 / $697.00	Professional	25	$156.97	$262.11	$697.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $211.86 / $298.86	Professional		$158.90	$211.86	$298.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $148.30 / $211.86 / $296.60	Professional	25	$148.30	$211.86	$296.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $29.21 / $29.21	Facility		$29.21	$29.21	$29.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.94 / $163.95 / $182.45	Professional		$133.94	$163.95	$182.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $120.00 / $242.44	Facility		$95.00	$120.00	$242.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $210.65 / $408.17	Professional		$151.16	$210.65	$408.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.33 / $202.12 / $362.28	Facility		$144.33	$202.12	$362.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.60 / $233.99 / $1,377.15	Professional		$173.60	$233.99	$1,377.15
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $171.47 / $265.22 / $492.70	Professional	25	$171.47	$265.22	$492.70
United Facility/Professional Professional Modifier Low / Median / High Price $167.95 / $204.75 / $388.19	Professional		$167.95	$204.75	$388.19
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $90.00	Professional	25	$80.00	$80.00	$90.00