Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $175.03 / $369.04	Facility		$146.69	$175.03	$369.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.93 / $179.56 / $251.86	Professional		$141.93	$179.56	$251.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $166.90 / $250.69 / $663.10	Professional	25	$166.90	$250.69	$663.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.34 / $203.72 / $285.20	Professional		$171.34	$203.72	$285.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $183.34 / $207.79 / $264.83	Professional	25	$183.34	$207.79	$264.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $215.02 / $290.76	Professional		$178.50	$215.02	$290.76
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 $160.97 / $223.91 / $309.20	Professional		$160.97	$223.91	$309.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $236.58 / $337.68	Facility		$146.69	$236.58	$337.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $232.23 / $1,377.15	Professional		$179.45	$232.23	$1,377.15
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $204.79 / $251.80 / $286.70	Professional	25	$204.79	$251.80	$286.70
United Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $211.12 / $285.01	Professional		$168.90	$211.12	$285.01
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $88.00 / $88.00	Professional	25	$80.00	$88.00	$88.00