Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $127.28 / $174.40	Facility		$106.95	$127.28	$174.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.18 / $125.39 / $248.00	Professional		$78.18	$125.39	$248.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $91.87 / $140.08 / $379.00	Professional	25	$91.87	$140.08	$379.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $118.14 / $157.94	Professional		$99.49	$118.14	$157.94
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.49 / $118.14 / $124.36	Professional	25	$99.49	$118.14	$124.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $109.38 / $127.16	Professional		$90.24	$109.38	$127.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.95 / $129.46 / $238.46	Facility		$106.95	$129.46	$238.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $126.39 / $818.99	Professional		$101.12	$126.39	$818.99
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $126.39 / $126.39 / $126.39	Professional	25	$126.39	$126.39	$126.39
United Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $117.72 / $228.00	Professional		$100.75	$117.72	$228.00