Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $2,818.38	Facility		$190.55	$389.05	$2,818.38
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $794.33 / $2,137.96 / $4,168.69	Facility	25	$794.33	$2,137.96	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $741.31	Professional		$169.82	$229.09	$741.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $181.97 / $309.03 / $1,174.90	Professional	25	$181.97	$309.03	$1,174.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $338.84	Professional		$186.21	$204.17	$338.84
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $181.97 / $223.87 / $346.74	Professional	25	$181.97	$223.87	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,023.29	Facility		$977.24	$1,023.29	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $380.19	Professional		$316.23	$316.23	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $489.78	Professional		$208.93	$302.00	$489.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $263.03 / $501.19	Facility		$186.21	$263.03	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $1,737.80	Professional		$269.15	$389.05	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,570.40	Facility		$1,513.56	$1,513.56	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $407.38	Professional		$218.78	$281.84	$407.38