Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.66 / $146.66 / $146.66	Facility		$146.66	$146.66	$146.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $129.74 / $161.08	Professional		$91.87	$129.74	$161.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $134.60 / $139.27 / $400.00	Professional	25	$134.60	$139.27	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.88 / $140.57 / $142.96	Professional		$117.88	$140.57	$142.96
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.89 / $122.89 / $178.68	Professional	25	$122.89	$122.89	$178.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.65 / $168.67 / $191.10	Professional		$125.65	$168.67	$191.10
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 $111.95 / $154.00 / $208.48	Facility		$111.95	$154.00	$208.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $129.02 / $818.99	Professional		$97.35	$129.02	$818.99
United Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $123.15 / $162.96	Professional		$93.83	$123.15	$162.96