Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $158.49 / $309.03	Facility		$117.49	$158.49	$309.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $186.21 / $186.21 / $186.21	Facility	25	$186.21	$186.21	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $316.23	Professional		$128.82	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $213.80	Professional		$138.04	$165.96	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $416.87	Professional		$177.83	$288.40	$416.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $549.54	Facility		$147.91	$234.42	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $1,202.26	Professional		$186.21	$239.88	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $323.59	Professional		$177.83	$218.78	$323.59