Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $162.18	Facility		$123.03	$128.82	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $269.15	Professional		$123.03	$162.18	$269.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	25	$354.81	$354.81	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $239.88	Professional		$123.03	$158.49	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $165.96 / $229.09	Professional		$67.61	$165.96	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $234.42	Professional		$123.03	$158.49	$234.42