Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $1,096.48	Facility		$102.33	$154.88	$1,096.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $467.74 / $851.14 / $1,698.24	Facility	25	$467.74	$851.14	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $371.54	Professional		$89.13	$120.23	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.72 / $169.82 / $478.63	Professional	25	$97.72	$169.82	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $208.93	Professional		$107.15	$125.89	$208.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $117.49 / $208.93	Professional	25	$107.15	$117.49	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $851.14	Facility		$467.74	$562.34	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $165.96	Professional		$120.23	$123.03	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $223.87	Professional		$107.15	$141.25	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $309.03	Facility		$117.49	$147.91	$309.03
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $501.19 / $501.19 / $588.84	Facility	25	$501.19	$501.19	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $741.31	Professional		$104.71	$147.91	$741.31
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $114.82 / $147.91 / $407.38	Professional	25	$114.82	$147.91	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $165.96	Professional		$97.72	$123.03	$165.96