Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $96.31 / $106.89	Facility		$87.56	$96.31	$106.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $378.00 / $378.00 / $378.00	Facility	25	$378.00	$378.00	$378.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $99.76 / $173.27	Professional		$87.56	$99.76	$173.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.70 / $362.70 / $1,907.40	Professional	25	$105.70	$362.70	$1,907.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $116.88 / $138.66	Professional		$99.05	$116.88	$138.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.05 / $116.88 / $198.10	Professional	25	$99.05	$116.88	$198.10
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 $106.75 / $119.77 / $161.96	Professional		$106.75	$119.77	$161.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.66 / $137.44 / $187.11	Professional		$101.66	$137.44	$187.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $124.81 / $224.14	Facility		$87.56	$124.81	$224.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $144.07 / $1,183.50	Professional		$107.06	$144.07	$1,183.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.58 / $126.42 / $174.69	Professional		$101.58	$126.42	$174.69
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $90.00 / $234.81	Professional	25	$80.00	$90.00	$234.81