Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.65 / $90.56 / $230.59	Facility		$69.65	$90.56	$230.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.75 / $93.32 / $159.21	Professional		$69.75	$93.32	$159.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $118.53 / $118.53 / $118.53	Professional	25	$118.53	$118.53	$118.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $83.89 / $128.08	Professional		$66.86	$83.89	$128.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.63 / $377.63 / $377.63	Facility		$377.63	$377.63	$377.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $129.71 / $154.02	Professional		$90.80	$129.71	$154.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $156.66 / $183.00	Facility		$156.66	$156.66	$183.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $95.35 / $158.32	Professional		$66.00	$95.35	$158.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $122.30 / $184.92	Professional		$84.00	$122.30	$184.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $62.03 / $179.07	Professional		$32.34	$62.03	$179.07
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $107.09 / $180.25	Professional		$77.38	$107.09	$180.25