Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.56 / $112.56 / $168.69	Facility		$112.56	$112.56	$168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $122.34 / $165.00	Professional		$97.00	$122.34	$165.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $105.93 / $112.57 / $127.37	Professional	25	$105.93	$112.57	$127.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $124.83 / $197.30	Professional		$49.00	$124.83	$197.30
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $129.24 / $129.24 / $133.16	Professional	25	$129.24	$129.24	$133.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.15 / $191.94 / $191.94	Professional		$163.15	$191.94	$191.94
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 $108.95 / $130.77 / $190.77	Facility		$108.95	$130.77	$190.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $146.25 / $818.99	Professional		$114.78	$146.25	$818.99
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $135.63 / $191.22	Professional		$112.48	$135.63	$191.22