Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $141.25 / $165.96	Facility		$123.03	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $199.53	Professional		$128.82	$158.49	$199.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $239.88 / $239.88	Professional	25	$239.88	$239.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $199.53	Professional		$144.54	$169.82	$199.53
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $169.82 / $181.97	Professional	25	$138.04	$169.82	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $398.11	Professional		$144.54	$234.42	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $398.11	Facility		$165.96	$190.55	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $257.04	Professional		$128.82	$165.96	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $257.04	Professional		$123.03	$162.18	$257.04