Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.63 / $132.78 / $1,057.60	Facility		$105.63	$132.78	$1,057.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $532.79 / $655.04 / $655.04	Facility	25	$532.79	$655.04	$655.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $105.18 / $185.08	Professional		$90.81	$105.18	$185.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $125.19 / $267.88 / $673.51	Professional	25	$125.19	$267.88	$673.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.06 / $112.18 / $115.44	Professional		$87.06	$112.18	$115.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $95.36 / $112.18 / $152.04	Professional	25	$95.36	$112.18	$152.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.13 / $303.29 / $303.29	Facility		$288.13	$303.29	$303.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $162.99 / $180.82	Professional		$138.54	$162.99	$180.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $1,745.00 / $1,745.00	Facility		$1,745.00	$1,745.00	$1,745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $156.05 / $235.32	Professional		$107.68	$156.05	$235.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.81 / $121.69 / $251.79	Facility		$90.81	$121.69	$251.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $176.41 / $1,183.50	Professional		$125.95	$176.41	$1,183.50
United Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $144.22 / $196.78	Professional		$119.65	$144.22	$196.78
United Facility/Professional Professional Modifier 25 Low / Median / High Price $85.00 / $85.00 / $144.66	Professional	25	$85.00	$85.00	$144.66