Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $104.71	Facility		$70.79	$87.10	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $112.20	Professional		$70.79	$87.10	$112.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $104.71 / $104.71 / $104.71	Professional	25	$104.71	$104.71	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $114.82	Professional		$81.28	$97.72	$114.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $81.28 / $87.10 / $114.82	Professional	25	$81.28	$87.10	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $117.49	Professional		$87.10	$87.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $229.09	Professional		$87.10	$109.65	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $229.09	Facility		$102.33	$123.03	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $114.82	Professional		$74.13	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $114.82	Professional		$74.13	$87.10	$114.82