Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $79.65 / $88.33	Facility		$62.71	$79.65	$88.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $73.04 / $162.60	Professional		$36.26	$73.04	$162.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.76 / $84.69 / $260.80	Professional	25	$70.76	$84.69	$260.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.71 / $70.56 / $82.32	Professional		$57.71	$70.56	$82.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $60.75 / $72.18 / $123.64	Professional	25	$60.75	$72.18	$123.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.29 / $38.29 / $184.67	Facility		$38.29	$38.29	$184.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $61.98 / $70.54	Professional		$49.38	$61.98	$70.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $97.12 / $189.68	Professional		$65.98	$97.12	$189.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $78.40 / $147.06	Facility		$62.72	$78.40	$147.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $98.81 / $525.69	Professional		$74.70	$98.81	$525.69
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $73.26 / $85.28 / $172.90	Professional	25	$73.26	$85.28	$172.90
United Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $86.93 / $163.66	Professional		$73.93	$86.93	$163.66
United Facility/Professional Professional Modifier 25 Low / Median / High Price $98.97 / $98.97 / $98.97	Professional	25	$98.97	$98.97	$98.97