Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $135.80 / $135.80	Facility		$135.80	$135.80	$135.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $156.76 / $267.66	Professional		$130.08	$156.76	$267.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $210.35 / $261.45	Professional	25	$115.53	$210.35	$261.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $150.01 / $151.37	Professional		$126.32	$150.01	$151.37
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $126.32 / $142.53 / $157.90	Professional	25	$126.32	$142.53	$157.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $138.80 / $161.36	Professional		$114.51	$138.80	$161.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $187.13 / $187.13	Facility		$187.13	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.80 / $167.75 / $312.45	Facility		$135.80	$167.75	$312.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $186.81 / $1,045.69	Professional		$148.49	$186.81	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $173.52 / $325.27	Professional		$146.94	$173.52	$325.27