Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.07 / $1,372.00 / $2,475.00	Facility		$411.07	$1,372.00	$2,475.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,315.00 / $1,372.00 / $1,605.00	Facility	25	$1,315.00	$1,372.00	$1,605.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.28 / $238.46 / $622.60	Professional		$181.28	$238.46	$622.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $286.77 / $1,015.59	Professional	25	$189.83	$286.77	$1,015.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $203.43 / $465.75	Professional		$162.00	$203.43	$465.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $162.00 / $202.50 / $768.22	Professional	25	$162.00	$202.50	$768.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.36 / $192.88 / $249.23	Professional		$177.36	$192.88	$249.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.50 / $277.31 / $554.12	Professional		$202.50	$277.31	$554.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $246.25 / $446.04	Facility		$178.20	$246.25	$446.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.24 / $324.62 / $1,733.52	Professional		$237.24	$324.62	$1,733.52
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $181.29 / $546.88 / $1,189.50	Professional	25	$181.29	$546.88	$1,189.50
United Facility/Professional Professional Modifier Low / Median / High Price $233.10 / $279.72 / $522.16	Professional		$233.10	$279.72	$522.16