Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.35 / $66.52 / $482.36	Facility		$58.35	$66.52	$482.36
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $335.20 / $806.00 / $966.39	Facility	25	$335.20	$806.00	$966.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $63.35 / $75.00	Professional		$53.77	$63.35	$75.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $148.44 / $199.00 / $249.20	Professional	25	$148.44	$199.00	$249.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $77.97 / $217.36	Professional		$64.81	$77.97	$217.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $58.95 / $69.34 / $201.87	Professional	25	$58.95	$69.34	$201.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.98 / $664.63 / $964.27	Facility		$482.98	$664.63	$964.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $76.68 / $97.32	Professional		$70.70	$76.68	$97.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $82.81 / $100.12	Professional		$62.72	$82.81	$100.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $88.39 / $260.95	Facility		$66.05	$88.39	$260.95
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $357.47 / $357.47 / $427.63	Facility	25	$357.47	$357.47	$427.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $76.36 / $500.00	Professional		$57.77	$76.36	$500.00
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $66.84 / $86.89 / $404.20	Professional	25	$66.84	$86.89	$404.20
United Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $66.40 / $92.10	Professional		$55.11	$66.40	$92.10