Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $52.19 / $56.45	Facility		$22.08	$52.19	$56.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $33.18 / $63.06	Professional		$22.80	$33.18	$63.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $116.25 / $144.00	Professional	25	$41.27	$116.25	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.04 / $15.29 / $21.74	Professional	52	$11.04	$15.29	$21.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $31.48 / $37.03	Professional		$29.62	$31.48	$37.03
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $15.93 / $35.18 / $35.18	Professional	25	$15.93	$35.18	$35.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $169.52	Facility		$35.15	$35.15	$169.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $36.54 / $48.43	Professional		$30.78	$36.54	$48.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.29 / $36.09 / $63.32	Facility		$24.29	$36.09	$63.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.94 / $245.75	Professional		$33.11	$42.94	$245.75
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $101.12 / $101.12 / $101.12	Professional	25	$101.12	$101.12	$101.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $38.42 / $74.78	Professional		$30.98	$38.42	$74.78