Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.84 / $168.73 / $237.20	Professional		$131.84	$168.73	$237.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $115.53 / $260.77 / $260.77	Professional	25	$115.53	$260.77	$260.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.71 / $156.18 / $179.02	Professional		$151.71	$156.18	$179.02
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $128.94 / $128.94 / $227.89	Professional	25	$128.94	$128.94	$227.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $215.06 / $248.76	Professional		$159.94	$215.06	$248.76
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 $156.44 / $201.85 / $265.49	Facility		$156.44	$201.85	$265.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.47 / $186.89 / $1,045.69	Professional		$143.47	$186.89	$1,045.69
United Facility/Professional Professional Modifier Low / Median / High Price $139.05 / $181.51 / $240.29	Professional		$139.05	$181.51	$240.29