Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $111.21 / $139.66	Facility		$111.21	$111.21	$139.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $139.66 / $195.46	Professional		$109.12	$139.66	$195.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.74 / $153.74 / $153.74	Professional	25	$153.74	$153.74	$153.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.01 / $138.01 / $138.01	Professional		$138.01	$138.01	$138.01
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $156.49 / $156.49 / $156.49	Professional	25	$156.49	$156.49	$156.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $170.81 / $212.78	Professional		$145.19	$170.81	$212.78
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 $110.75 / $148.72 / $224.81	Facility		$110.75	$148.72	$224.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.96 / $202.36 / $1,045.69	Professional		$124.96	$202.36	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $176.57 / $263.57	Professional		$119.52	$176.57	$263.57