Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $851.14	Facility		$46.77	$79.43	$851.14
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $363.08 / $660.69 / $1,318.26	Facility	25	$363.08	$660.69	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $218.78	Professional		$51.29	$69.18	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $104.71 / $380.19	Professional	25	$63.10	$104.71	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $91.20	Professional		$54.95	$66.07	$91.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $54.95 / $67.61 / $91.20	Professional	25	$54.95	$67.61	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $407.38 / $407.38	Facility		$389.05	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $112.20	Professional		$95.50	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $141.25	Professional		$63.10	$91.20	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $81.28 / $169.82	Facility		$63.10	$81.28	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $501.19	Professional		$63.10	$85.11	$501.19
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $69.18 / $316.23	Professional	25	$69.18	$69.18	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Professional		$60.26	$70.79	$109.65