Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $106.34 / $212.80	Facility		$78.59	$106.34	$212.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $148.00 / $148.00 / $288.77	Facility	25	$148.00	$148.00	$288.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $101.06 / $163.34	Professional		$70.44	$101.06	$163.34
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.38 / $121.28 / $345.10	Professional	25	$52.38	$121.28	$345.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.23 / $117.93 / $147.41	Professional		$95.23	$117.93	$147.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $93.50 / $117.93 / $141.52	Professional	25	$93.50	$117.93	$141.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $123.55 / $169.65	Professional		$96.25	$123.55	$169.65
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 $81.70 / $116.42 / $160.97	Professional		$81.70	$116.42	$160.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.65 / $117.93 / $175.17	Facility		$77.65	$117.93	$175.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $129.32 / $801.06	Professional		$93.87	$129.32	$801.06
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $114.07 / $140.68 / $157.03	Professional	25	$114.07	$140.68	$157.03
United Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $107.45 / $148.36	Professional		$80.48	$107.45	$148.36