Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.37 / $195.30 / $534.75	Facility		$157.37	$195.30	$534.75
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $195.30 / $195.30 / $195.30	Facility	25	$195.30	$195.30	$195.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.81 / $181.78 / $235.19	Professional		$155.81	$181.78	$235.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.63 / $169.09 / $216.86	Professional		$160.63	$169.09	$216.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.15 / $208.40 / $263.85	Professional		$192.15	$208.40	$263.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.77 / $224.27 / $370.42	Professional		$164.77	$224.27	$370.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.91 / $246.95 / $378.19	Facility		$199.91	$246.95	$378.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.38 / $213.81 / $1,215.07	Professional		$171.38	$213.81	$1,215.07
United Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $206.07 / $276.13	Professional		$164.86	$206.07	$276.13