Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $152.40 / $221.31	Facility		$111.66	$152.40	$221.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $161.44 / $233.32	Professional		$113.09	$161.44	$233.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.51 / $193.79 / $240.52	Professional	25	$38.51	$193.79	$240.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $168.44 / $179.66	Professional		$160.41	$168.44	$179.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $188.72 / $188.72 / $188.72	Professional	25	$188.72	$188.72	$188.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $201.36 / $301.80	Professional		$112.38	$201.36	$301.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.98 / $164.48 / $215.53	Facility		$115.98	$164.48	$215.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $215.99 / $1,291.38	Professional		$180.24	$215.99	$1,291.38
United Facility/Professional Professional Modifier Low / Median / High Price $150.71 / $197.05 / $288.75	Professional		$150.71	$197.05	$288.75