Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $131.83 / $190.55	Facility		$128.82	$131.83	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $204.17	Professional		$120.23	$158.49	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $194.98	Professional		$144.54	$165.96	$194.98
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $158.49 / $181.97	Professional	25	$138.04	$158.49	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $218.78	Professional		$158.49	$162.18	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $398.11	Professional		$128.82	$186.21	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $213.80 / $398.11	Facility		$173.78	$213.80	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $213.80	Professional		$134.90	$151.36	$213.80