Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $67.61	Facility		$61.66	$61.66	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $85.11	Professional		$60.26	$67.61	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $87.10	Professional		$70.79	$79.43	$87.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	25	$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $107.15	Professional		$77.62	$79.43	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $123.03	Professional		$67.61	$102.33	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $102.33	Facility		$57.54	$70.79	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $524.81	Professional		$67.61	$93.33	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $114.82	Professional		$67.61	$89.13	$114.82