Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $97.26 / $298.31	Facility		$64.17	$97.26	$298.31
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $41.60 / $165.95 / $488.74	Facility	25	$41.60	$165.95	$488.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $97.27 / $145.77	Professional		$66.34	$97.27	$145.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.00 / $101.12 / $145.94	Professional	25	$52.00	$101.12	$145.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $114.84 / $152.72	Professional		$89.05	$114.84	$152.72
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.85 / $117.48 / $176.93	Professional	25	$99.85	$117.48	$176.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.14 / $188.57 / $188.57	Facility		$179.14	$188.57	$188.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $110.99 / $144.53	Professional		$94.34	$110.99	$144.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.12 / $191.00	Facility		$100.00	$154.12	$191.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.45 / $133.44 / $208.65	Professional		$84.45	$133.44	$208.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $109.51 / $153.59	Facility		$81.31	$109.51	$153.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.69 / $142.24 / $801.06	Professional		$102.69	$142.24	$801.06
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $110.49 / $141.37 / $259.13	Professional	25	$110.49	$141.37	$259.13
United Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $114.91 / $163.52	Professional		$84.90	$114.91	$163.52