Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $84.03 / $449.71	Facility		$58.14	$84.03	$449.71
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $103.20 / $356.40 / $460.08	Facility	25	$103.20	$356.40	$460.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $71.17 / $112.47	Professional		$49.34	$71.17	$112.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $43.14 / $83.56 / $186.69	Professional	25	$43.14	$83.56	$186.69
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 $61.11 / $83.59 / $104.49	Professional		$61.11	$83.59	$104.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.50 / $83.59 / $108.67	Professional	25	$67.50	$83.59	$108.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $86.80 / $119.19	Professional		$65.09	$86.80	$119.19
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 $53.13 / $77.86 / $108.59	Professional		$53.13	$77.86	$108.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $76.95 / $123.49	Facility		$51.94	$76.95	$123.49
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $132.00 / $132.00 / $132.00	Facility	25	$132.00	$132.00	$132.00
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 $63.20 / $86.55 / $567.54	Professional		$63.20	$86.55	$567.54
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $75.63 / $95.17 / $117.34	Professional	25	$75.63	$95.17	$117.34
United Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $76.15 / $102.31	Professional		$60.68	$76.15	$102.31