Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $75.86 / $512.86	Facility		$7.24	$75.86	$512.86
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $43.65 / $93.33 / $245.47	Facility	25	$43.65	$93.33	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $21.38 / $58.88	Professional		$7.08	$21.38	$58.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $34.67 / $79.43	Professional	25	$19.05	$34.67	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $21.38 / $28.18	Professional		$8.32	$21.38	$28.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $21.88 / $27.54	Professional	25	$18.62	$21.88	$27.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $120.23	Facility		$10.47	$15.49	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $16.60 / $26.92	Professional		$6.76	$16.60	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $234.42	Facility		$89.13	$109.65	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $19.95 / $36.31	Professional		$8.51	$19.95	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $18.20 / $33.11	Facility		$7.24	$18.20	$33.11
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,318.26 / $1,318.26 / $1,513.56	Facility	25	$1,318.26	$1,318.26	$1,513.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $489.78	Professional		$18.62	$30.90	$489.78
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $18.20 / $19.50 / $61.66	Professional	25	$18.20	$19.50	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $13.80 / $16.60	Facility		$6.46	$13.80	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.62 / $33.88	Professional		$8.32	$18.62	$33.88