Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.11 / $74.40 / $319.26	Facility		$34.11	$74.40	$319.26
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $115.36 / $115.36 / $115.85	Facility	25	$115.36	$115.36	$115.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $42.23 / $55.66	Professional		$26.79	$42.23	$55.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $29.97 / $55.00 / $151.10	Professional	25	$29.97	$55.00	$151.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $52.37 / $71.88	Professional		$34.08	$52.37	$71.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.64 / $52.37 / $61.61	Professional	25	$43.64	$52.37	$61.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $48.00 / $72.56	Professional		$34.65	$48.00	$72.56
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 $28.32 / $45.75 / $64.50	Professional		$28.32	$45.75	$64.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $45.57 / $81.36	Facility		$28.19	$45.57	$81.36
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 $38.34 / $50.81 / $354.09	Professional		$38.34	$50.81	$354.09
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $42.95 / $62.33 / $66.48	Professional	25	$42.95	$62.33	$66.48
United Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $46.19 / $62.39	Professional		$36.95	$46.19	$62.39