Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.75 / $2,180.76 / $2,590.58	Facility		$282.75	$2,180.76	$2,590.58
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $250.87 / $1,605.00 / $2,897.00	Facility	25	$250.87	$1,605.00	$2,897.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $66.00 / $163.11	Professional		$46.66	$66.00	$163.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.53 / $199.00 / $329.31	Professional	25	$57.53	$199.00	$329.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $120.98 / $851.58	Professional		$67.20	$120.98	$851.58
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $53.77 / $69.50 / $540.00	Professional	25	$53.77	$69.50	$540.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $78.33 / $154.50	Professional		$57.96	$78.33	$154.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $70.56 / $136.86	Facility		$55.99	$70.56	$136.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $75.70 / $500.00	Professional		$55.80	$75.70	$500.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $124.34 / $160.22 / $442.00	Professional	25	$124.34	$160.22	$442.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $66.22 / $129.79	Professional		$54.25	$66.22	$129.79