Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.16 / $87.16 / $131.38	Facility		$87.16	$87.16	$131.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $92.87 / $176.25	Professional		$68.63	$92.87	$176.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $145.34 / $145.34 / $145.34	Professional	25	$145.34	$145.34	$145.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.84 / $122.84 / $122.84	Professional		$122.84	$122.84	$122.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.29 / $284.83 / $499.11	Facility		$76.29	$284.83	$499.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $78.27 / $120.96	Professional		$51.69	$78.27	$120.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $91.03 / $157.91	Professional		$52.19	$91.03	$157.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $103.45 / $164.53	Facility		$68.63	$103.45	$164.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $109.61 / $830.18	Professional		$74.70	$109.61	$830.18
United Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $89.60 / $173.84	Professional		$72.25	$89.60	$173.84