Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.40 / $242.77 / $906.30	Facility		$174.40	$242.77	$906.30
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $424.80 / $925.20 / $925.20	Facility	25	$424.80	$925.20	$925.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $220.69 / $340.36	Professional		$174.40	$220.69	$340.36
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $211.58 / $400.66 / $1,269.90	Professional	25	$211.58	$400.66	$1,269.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.06 / $205.90 / $396.12	Professional		$198.06	$205.90	$396.12
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $198.06 / $233.71 / $396.12	Professional	25	$198.06	$233.71	$396.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.63 / $755.45 / $1,104.78	Facility		$501.63	$755.45	$1,104.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $271.52 / $367.18	Professional		$212.45	$271.52	$367.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $292.44 / $410.96	Professional		$207.57	$292.44	$410.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.92 / $267.32 / $466.30	Facility		$180.92	$267.32	$466.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $242.04 / $319.57 / $1,733.52	Professional		$242.04	$319.57	$1,733.52
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $218.99 / $259.85 / $338.22	Professional	25	$218.99	$259.85	$338.22
United Facility/Professional Professional Modifier Low / Median / High Price $228.91 / $285.14 / $394.95	Professional		$228.91	$285.14	$394.95