Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $2,390.00 / $7,110.55	Facility		$352.00	$2,390.00	$7,110.55
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $927.08 / $2,307.00 / $3,424.63	Facility	25	$927.08	$2,307.00	$3,424.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $110.90 / $276.20	Professional		$77.94	$110.90	$276.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.70 / $247.56 / $575.00	Professional	25	$97.70	$247.56	$575.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $373.15 / $453.18	Professional		$115.55	$373.15	$453.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $114.62 / $114.62 / $428.50	Professional	25	$114.62	$114.62	$428.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $139.55 / $280.22	Professional		$102.73	$139.55	$280.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.69 / $125.75 / $259.64	Facility		$91.69	$125.75	$259.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.47 / $153.15 / $748.12	Professional		$104.47	$153.15	$748.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $294.33 / $400.76 / $978.40	Professional	25	$294.33	$400.76	$978.40
United Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $117.95 / $228.93	Professional		$100.10	$117.95	$228.93