Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $389.05	Professional		$125.89	$177.83	$389.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	25	$588.84	$588.84	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $194.98	Professional		$138.04	$162.18	$194.98
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $147.91 / $181.97	Professional	25	$138.04	$147.91	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $741.31	Professional		$151.36	$151.36	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $269.15	Professional		$131.83	$158.49	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $812.83	Facility		$100.00	$199.53	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $380.19	Professional		$134.90	$165.96	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $275.42	Professional		$134.90	$158.49	$275.42