Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $82.89 / $517.83	Facility		$8.44	$82.89	$517.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $43.90 / $82.89 / $899.68	Facility	25	$43.90	$82.89	$899.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $18.89 / $36.76	Professional		$6.70	$18.89	$36.76
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.17 / $26.70 / $67.00	Professional	25	$17.17	$26.70	$67.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $21.07 / $30.16	Professional		$10.80	$21.07	$30.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $16.64 / $19.96 / $23.29	Professional	25	$16.64	$19.96	$23.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.56 / $15.53 / $119.99	Facility		$10.56	$15.53	$119.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $13.24 / $19.20	Professional		$6.56	$13.24	$19.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $110.00 / $179.00	Facility		$11.66	$110.00	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $19.44 / $39.22	Professional		$8.30	$19.44	$39.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $18.46 / $35.92	Facility		$7.32	$18.46	$35.92
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $1,309.90 / $1,309.90 / $1,512.18	Facility	25	$1,309.90	$1,309.90	$1,512.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.54 / $489.00	Professional		$18.20	$25.54	$489.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $18.18 / $19.68 / $61.10	Professional	25	$18.18	$19.68	$61.10
United Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $22.10 / $42.00	Professional		$17.80	$22.10	$42.00