Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $180.63 / $215.62	Facility		$151.47	$180.63	$215.62
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $43.20 / $43.20 / $43.20	Facility	25	$43.20	$43.20	$43.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $175.41 / $236.58	Professional		$129.94	$175.41	$236.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $166.90 / $206.58 / $253.10	Professional	25	$166.90	$206.58	$253.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $202.09 / $276.61	Professional		$165.75	$202.09	$276.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $185.64 / $202.09 / $262.72	Professional	25	$185.64	$202.09	$262.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.24 / $168.67 / $168.67	Facility		$160.24	$168.67	$168.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.85 / $225.71 / $271.48	Professional		$191.85	$225.71	$271.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $165.00 / $230.97	Facility		$120.00	$165.00	$230.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $254.42 / $368.24	Professional		$174.80	$254.42	$368.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.87 / $206.80 / $299.95	Facility		$152.87	$206.80	$299.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $270.83 / $1,377.15	Professional		$198.74	$270.83	$1,377.15
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $248.87 / $288.27 / $575.79	Professional	25	$248.87	$288.27	$575.79
United Facility/Professional Professional Modifier Low / Median / High Price $188.31 / $224.04 / $319.52	Professional		$188.31	$224.04	$319.52
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $88.00	Professional	25	$80.00	$80.00	$88.00