Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,621.81 / $2,754.23	Facility		$281.84	$1,621.81	$2,754.23
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $251.19 / $1,380.38 / $2,884.03	Facility	25	$251.19	$1,380.38	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $234.42	Professional		$51.29	$70.79	$234.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $144.54 / $331.13	Professional	25	$66.07	$144.54	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $154.88	Professional		$54.95	$77.62	$154.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $54.95 / $69.18 / $223.87	Professional	25	$54.95	$69.18	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $162.18	Professional		$58.88	$77.62	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $138.04	Facility		$56.23	$72.44	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $97.72 / $501.19	Professional		$56.23	$97.72	$501.19
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $141.25 / $162.18 / $302.00	Professional	25	$141.25	$162.18	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $128.82	Professional		$53.70	$66.07	$128.82