Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.51 / $527.10 / $1,903.45	Facility		$90.51	$527.10	$1,903.45
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $621.00 / $948.00 / $1,903.44	Facility	25	$621.00	$948.00	$1,903.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $101.76 / $142.01	Professional		$77.12	$101.76	$142.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $86.76 / $112.44 / $542.10	Professional	25	$86.76	$112.44	$542.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $126.96 / $331.20	Professional		$110.40	$126.96	$331.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.92 / $126.96 / $331.20	Professional	25	$107.92	$126.96	$331.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.48 / $695.24 / $695.24	Facility		$660.48	$695.24	$695.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $192.77 / $192.77	Professional		$163.85	$192.77	$192.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $1,359.00 / $1,359.00	Facility		$1,359.00	$1,359.00	$1,359.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $168.00 / $245.85	Professional		$117.73	$168.00	$245.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $141.94 / $321.45	Facility		$102.83	$141.94	$321.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $147.84 / $748.12	Professional		$115.55	$147.84	$748.12
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $144.26 / $167.19 / $195.17	Professional	25	$144.26	$167.19	$195.17
United Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $130.52 / $200.58	Professional		$112.88	$130.52	$200.58