Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $98.08 / $440.27	Facility		$28.92	$98.08	$440.27
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $60.00 / $246.07 / $451.29	Facility	25	$60.00	$246.07	$451.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $43.59 / $98.09	Professional		$23.68	$43.59	$98.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $34.42 / $59.84 / $151.10	Professional	25	$34.42	$59.84	$151.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $53.98 / $75.56	Professional		$28.47	$53.98	$75.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.18 / $48.58 / $67.48	Professional	25	$43.18	$48.58	$67.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $31.94 / $65.97	Facility		$15.71	$31.94	$65.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $34.70 / $46.59	Professional		$26.44	$34.70	$46.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $110.00 / $179.00	Facility		$46.99	$110.00	$179.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $44.75 / $82.86	Professional		$25.13	$44.75	$82.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $44.80 / $80.97	Facility		$26.79	$44.80	$80.97
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $99.33 / $99.33 / $99.33	Facility	62	$99.33	$99.33	$99.33
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.89 / $15.89 / $15.89	Facility	AS	$15.89	$15.89	$15.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $52.86 / $354.09	Professional		$36.70	$52.86	$354.09
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $31.95 / $47.94 / $115.05	Professional	25	$31.95	$47.94	$115.05
United Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $46.08 / $86.91	Professional		$36.04	$46.08	$86.91