Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.42 / $141.65 / $462.40	Facility		$66.42	$141.65	$462.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $66.42 / $66.42 / $228.65	Facility	25	$66.42	$66.42	$228.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.46 / $135.71 / $187.70	Professional		$97.46	$135.71	$187.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.36 / $149.69 / $204.72	Professional	25	$81.36	$149.69	$204.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.75 / $165.16 / $231.22	Professional		$131.75	$165.16	$231.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $151.51 / $165.16 / $231.22	Professional	25	$151.51	$165.16	$231.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.93 / $266.24 / $266.24	Facility		$252.93	$266.24	$266.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $163.43 / $201.55	Professional		$138.91	$163.43	$201.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $165.00 / $250.00	Facility		$120.00	$165.00	$250.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.37 / $183.15 / $281.79	Professional		$120.37	$183.15	$281.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.56 / $154.69 / $214.91	Facility		$120.56	$154.69	$214.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.77 / $195.86 / $1,127.38	Professional		$138.77	$195.86	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $174.59 / $207.30 / $429.30	Professional	25	$174.59	$207.30	$429.30
United Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $157.13 / $231.02	Professional		$136.53	$157.13	$231.02