Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.83 / $75.48 / $82.58	Facility		$74.83	$75.48	$82.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $70.76 / $107.29	Professional		$58.67	$70.76	$107.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $60.38 / $78.65 / $96.04	Professional	25	$60.38	$78.65	$96.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $69.02 / $98.11	Professional		$64.15	$69.02	$98.11
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $68.80 / $79.37 / $79.37	Professional	25	$68.80	$79.37	$79.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.96 / $1.01 / $1.01	Facility		$0.96	$1.01	$1.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $125.10 / $133.16	Professional		$0.10	$125.10	$133.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.63 / $99.63 / $99.63	Facility		$99.63	$99.63	$99.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.52 / $112.66 / $148.63	Professional		$73.52	$112.66	$148.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $75.48 / $111.81	Facility		$63.79	$75.48	$111.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $124.19 / $525.69	Professional		$87.41	$124.19	$525.69
United Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $100.69 / $139.57	Professional		$82.32	$100.69	$139.57
United Facility/Professional Professional Modifier 25 Low / Median / High Price $98.97 / $98.97 / $98.97	Professional	25	$98.97	$98.97	$98.97