Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $177.40 / $718.00	Facility		$49.12	$177.40	$718.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $58.38 / $320.19 / $851.08	Facility	25	$58.38	$320.19	$851.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $78.95 / $177.66	Professional		$46.97	$78.95	$177.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $51.42 / $94.13 / $243.00	Professional	25	$51.42	$94.13	$243.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.64 / $262.68 / $271.76	Professional	50	$254.64	$262.68	$271.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.19 / $83.02 / $113.61	Professional		$62.19	$83.02	$113.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $62.91 / $81.63 / $129.41	Professional	25	$62.91	$81.63	$129.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $37.72 / $119.99	Facility		$18.29	$37.72	$119.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.59 / $67.59 / $75.33	Professional		$49.59	$67.59	$75.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.08 / $115.00 / $179.00	Facility		$88.08	$115.00	$179.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $55.05 / $55.05 / $55.05	Facility	62	$55.05	$55.05	$55.05
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.81 / $8.81 / $8.81	Facility	AS	$8.81	$8.81	$8.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $74.48 / $139.88	Professional		$48.03	$74.48	$139.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $75.34 / $131.09	Facility		$47.13	$75.34	$131.09
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $186.38 / $186.38 / $186.38	Facility	62	$186.38	$186.38	$186.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $29.82 / $29.82 / $29.82	Facility	AS	$29.82	$29.82	$29.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $87.92 / $567.54	Professional		$61.19	$87.92	$567.54
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $60.14 / $81.42 / $163.15	Professional	25	$60.14	$81.42	$163.15
United Facility/Professional Professional Modifier Low / Median / High Price $57.80 / $73.84 / $148.32	Professional		$57.80	$73.84	$148.32