Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $168.72 / $168.72	Facility		$139.38	$168.72	$168.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $158.11 / $217.13	Professional		$136.37	$158.11	$217.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $168.73 / $168.73 / $168.73	Professional	25	$168.73	$168.73	$168.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $158.94 / $158.94	Professional		$151.37	$158.94	$158.94
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $163.95 / $163.95 / $163.95	Professional	25	$163.95	$163.95	$163.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.02 / $276.49 / $276.49	Professional		$235.02	$276.49	$276.49
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 $144.97 / $169.71 / $261.42	Facility		$144.97	$169.71	$261.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $219.54 / $1,045.69	Professional		$169.49	$219.54	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $166.10 / $204.09 / $275.48	Professional		$166.10	$204.09	$275.48