Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.34 / $75.93 / $240.00	Facility		$49.34	$75.93	$240.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $66.42 / $205.00 / $289.00	Facility	25	$66.42	$205.00	$289.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $70.55 / $98.00	Professional		$48.61	$70.55	$98.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $40.13 / $73.76 / $99.39	Professional	25	$40.13	$73.76	$99.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $83.36 / $110.92	Professional		$60.50	$83.36	$110.92
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.58 / $83.36 / $108.37	Professional	25	$69.58	$83.36	$108.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $133.49 / $133.49	Facility		$126.82	$133.49	$133.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $75.77 / $101.97	Professional		$64.40	$75.77	$101.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $165.00 / $191.00	Facility		$108.98	$165.00	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $90.11 / $141.29	Professional		$55.44	$90.11	$141.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $75.95 / $102.74	Facility		$55.28	$75.95	$102.74
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 $68.15 / $100.62 / $567.54	Professional		$68.15	$100.62	$567.54
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $76.02 / $94.63 / $154.58	Professional	25	$76.02	$94.63	$154.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $79.59 / $117.93	Professional		$64.63	$79.59	$117.93