Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $87.10	Facility		$44.67	$56.23	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $61.66	Professional		$28.84	$44.67	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $70.79	Professional		$46.77	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $58.88 / $75.86	Professional	25	$48.98	$58.88	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.09 / $0.09	Professional		$0.06	$0.09	$0.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $83.18	Professional		$36.31	$51.29	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $64.57	Facility		$38.90	$50.12	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $398.11	Professional		$40.74	$60.26	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $190.55	Facility		$114.82	$114.82	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $67.61	Professional		$33.11	$44.67	$67.61