Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $144.00 / $976.96	Facility		$92.98	$144.00	$976.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $62.33 / $262.69 / $1,828.75	Facility	25	$62.33	$262.69	$1,828.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $148.26 / $379.35	Professional		$94.67	$148.26	$379.35
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $109.44 / $207.08 / $520.57	Professional	25	$109.44	$207.08	$520.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $160.93 / $240.70	Professional		$125.80	$160.93	$240.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $129.90 / $172.69 / $224.50	Professional	25	$129.90	$172.69	$224.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.01 / $27.01	Facility		$27.01	$27.01	$27.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $134.44 / $148.74	Professional		$106.69	$134.44	$148.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $120.00 / $218.00	Facility		$95.00	$120.00	$218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $150.41 / $284.98	Professional		$104.22	$150.41	$284.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $151.97 / $268.01	Facility		$108.46	$151.97	$268.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.10 / $175.64 / $1,127.38	Professional		$121.10	$175.64	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $123.30 / $274.74 / $368.55	Professional	25	$123.30	$274.74	$368.55
United Facility/Professional Professional Modifier Low / Median / High Price $114.84 / $147.96 / $272.00	Professional		$114.84	$147.96	$272.00