Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $106.78 / $136.07	Facility		$106.78	$106.78	$136.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $130.66 / $202.27	Professional		$105.15	$130.66	$202.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.76 / $261.39 / $404.00	Professional	25	$170.76	$261.39	$404.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.83 / $166.13 / $166.13	Professional		$142.83	$166.13	$166.13
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.22 / $158.22 / $158.22	Professional	25	$158.22	$158.22	$158.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.79 / $90.79 / $437.73	Facility		$90.79	$90.79	$437.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.31 / $122.44 / $151.25	Professional		$104.31	$122.44	$151.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.39 / $156.15 / $276.22	Facility		$116.39	$156.15	$276.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.66 / $168.48 / $1,045.69	Professional		$97.66	$168.48	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $158.78 / $309.07	Professional		$92.52	$158.78	$309.07