Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $336.00 / $982.62	Facility		$53.57	$336.00	$982.62
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $360.80 / $723.98 / $1,285.00	Facility	25	$360.80	$723.98	$1,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $61.13 / $77.02	Professional		$46.42	$61.13	$77.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.19 / $69.52 / $349.35	Professional	25	$63.19	$69.52	$349.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $68.86 / $120.98	Professional		$64.81	$68.86	$120.98
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.81 / $74.53 / $90.73	Professional	25	$64.81	$74.53	$90.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $407.79 / $407.79	Facility		$387.40	$407.79	$407.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.34 / $115.69 / $115.69	Professional		$98.34	$115.69	$115.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,259.00 / $1,259.00 / $1,259.00	Facility		$1,259.00	$1,259.00	$1,259.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $92.25 / $142.44	Professional		$63.63	$92.25	$142.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.13 / $81.03 / $171.78	Facility		$61.13	$81.03	$171.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $81.99 / $500.00	Professional		$64.23	$81.99	$500.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $69.00 / $69.00 / $316.45	Professional	25	$69.00	$69.00	$316.45
United Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $73.04 / $108.82	Professional		$62.14	$73.04	$108.82