Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.63 / $169.43 / $397.20	Facility		$126.63	$169.43	$397.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $380.13 / $380.13 / $380.13	Facility	25	$380.13	$380.13	$380.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.06 / $137.84 / $200.53	Professional		$104.06	$137.84	$200.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.96 / $185.26 / $474.30	Professional	25	$117.96	$185.26	$474.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $165.84 / $223.88	Professional		$132.97	$165.84	$223.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $132.97 / $165.84 / $215.59	Professional	25	$132.97	$165.84	$215.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $173.45 / $237.42	Professional		$141.75	$173.45	$237.42
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 $116.09 / $157.88 / $217.86	Professional		$116.09	$157.88	$217.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $162.75 / $242.36	Facility		$115.12	$162.75	$242.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $167.87 / $1,127.38	Professional		$126.08	$167.87	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $118.55 / $178.94 / $208.38	Professional	25	$118.55	$178.94	$208.38
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $148.33 / $200.25	Professional		$118.66	$148.33	$200.25