Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.61 / $2,390.00 / $2,475.00	Facility		$205.61	$2,390.00	$2,475.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $5,408.00 / $5,408.00 / $5,408.00	Facility	25	$5,408.00	$5,408.00	$5,408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $106.40 / $371.94	Professional		$89.98	$106.40	$371.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $101.25 / $258.30 / $1,255.60	Professional	25	$101.25	$258.30	$1,255.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $101.29 / $757.79	Professional		$86.10	$101.29	$757.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.03 / $141.81 / $406.22	Professional	25	$81.03	$141.81	$406.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $96.47 / $108.36	Professional		$80.95	$96.47	$108.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $129.72 / $264.48	Professional		$96.53	$129.72	$264.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $114.68 / $209.20	Facility		$89.13	$114.68	$209.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $143.58 / $1,183.50	Professional		$105.84	$143.58	$1,183.50
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $174.02 / $174.02 / $606.10	Professional	25	$174.02	$174.02	$606.10
United Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $122.15 / $227.00	Professional		$103.80	$122.15	$227.00
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $144.66	Professional	25	$80.00	$80.00	$144.66