Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $123.03 / $316.23	Facility		$36.31	$123.03	$316.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $114.82 / $213.80 / $213.80	Facility	25	$114.82	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $107.15	Professional		$28.18	$48.98	$107.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $28.18 / $53.70 / $114.82	Professional	25	$28.18	$53.70	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $70.79	Professional		$30.20	$51.29	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $35.48 / $53.70 / $67.61	Professional	25	$35.48	$53.70	$67.61
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 Professional Modifier Low / Median / High Price $34.67 / $47.86 / $72.44	Professional		$34.67	$47.86	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $125.89 / $144.54	Facility		$100.00	$125.89	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $69.18	Professional		$27.54	$43.65	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $77.62	Facility		$26.30	$45.71	$77.62
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $93.33 / $100.00 / $100.00	Facility	62	$93.33	$100.00	$100.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.14 / $15.85 / $15.85	Facility	AS	$15.14	$15.85	$15.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $354.81	Professional		$38.02	$54.95	$354.81
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $42.66 / $52.48 / $66.07	Professional	25	$42.66	$52.48	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $39.81	Facility		$22.91	$25.70	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $58.88	Professional		$22.91	$37.15	$58.88