Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $912.01	Facility		$190.55	$245.47	$912.01
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $426.58 / $426.58 / $933.25	Facility	25	$426.58	$426.58	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $724.44	Professional		$177.83	$239.88	$724.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $316.23 / $891.25	Professional	25	$190.55	$316.23	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $363.08	Professional		$177.83	$229.09	$363.08
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $234.42 / $363.08	Professional	25	$194.98	$234.42	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $1,096.48	Facility		$467.74	$660.69	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $363.08	Professional		$213.80	$269.15	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $446.68	Professional		$204.17	$281.84	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $524.81	Facility		$177.83	$251.19	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $1,737.80	Professional		$239.88	$331.13	$1,737.80
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $218.78 / $257.04 / $338.84	Professional	25	$218.78	$257.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $371.54	Professional		$194.98	$263.03	$371.54