Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $38.15 / $89.79	Facility		$30.37	$38.15	$89.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $69.17 / $89.79	Professional		$30.73	$69.17	$89.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $30.37 / $30.37 / $30.37	Professional	25	$30.37	$30.37	$30.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $53.57 / $63.56	Professional		$38.59	$53.57	$63.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $45.40 / $45.40 / $63.56	Professional	25	$45.40	$45.40	$63.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $39.86 / $50.46	Professional		$36.75	$39.86	$50.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $49.94 / $74.98	Professional		$39.15	$49.94	$74.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.40 / $85.30 / $126.87	Facility		$45.40	$85.30	$126.87
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $22.10 / $22.10 / $22.10	Facility	AS	$22.10	$22.10	$22.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $44.45 / $350.74	Professional		$34.04	$44.45	$350.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $42.00 / $55.56	Professional		$33.25	$42.00	$55.56