Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $68.68 / $69.00	Facility		$54.08	$68.68	$69.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $65.09 / $110.62	Professional		$54.56	$65.09	$110.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $209.60 / $215.25 / $245.55	Professional	25	$209.60	$215.25	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $65.20 / $67.56	Professional		$65.20	$65.20	$67.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $68.28 / $94.64 / $94.64	Professional	25	$68.28	$94.64	$94.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $92.34	Facility		$19.14	$19.14	$92.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $30.99 / $34.86	Professional		$23.63	$30.99	$34.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $87.15 / $176.78	Professional		$59.99	$87.15	$176.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.33 / $68.81 / $136.12	Facility		$54.33	$68.81	$136.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $86.09 / $454.95	Professional		$65.41	$86.09	$454.95
United Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $76.37 / $147.69	Professional		$63.81	$76.37	$147.69
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07