Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $53.70 / $120.23	Facility		$27.54	$53.70	$120.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $57.54 / $95.50 / $199.53	Facility	25	$57.54	$95.50	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $87.10	Professional		$27.54	$46.77	$87.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $28.18 / $51.29 / $97.72	Professional	25	$28.18	$51.29	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $74.13	Professional		$29.51	$52.48	$74.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $53.70 / $74.13	Professional	25	$42.66	$53.70	$74.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	50	$54.95	$54.95	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Facility		$81.28	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $63.10	Professional		$40.74	$40.74	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $151.36 / $190.55	Facility		$67.61	$151.36	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $79.43	Professional		$27.54	$45.71	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $44.67 / $70.79	Facility		$27.54	$44.67	$70.79
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	62	$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	AS	$15.85	$15.85	$15.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $354.81	Professional		$41.69	$58.88	$354.81
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $70.79 / $100.00 / $154.88	Professional	25	$70.79	$100.00	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $48.98	Facility		$35.48	$35.48	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $61.66	Professional		$25.70	$41.69	$61.66