Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $128.82	Professional		$52.48	$70.79	$128.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $75.86 / $138.04	Professional	25	$72.44	$75.86	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $87.10	Professional		$56.23	$67.61	$87.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $53.70 / $70.79 / $79.43	Professional	25	$53.70	$70.79	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $302.00	Professional		$61.66	$61.66	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $109.65	Professional		$54.95	$64.57	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $338.84	Facility		$60.26	$81.28	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $158.49	Professional		$57.54	$69.18	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $114.82	Professional		$56.23	$66.07	$114.82