Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $131.33 / $309.02	Facility		$68.83	$131.33	$309.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $127.51 / $209.95	Professional		$98.00	$127.51	$209.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.46 / $121.61 / $154.52	Professional		$99.46	$121.61	$154.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.82 / $150.84 / $199.23	Professional		$132.82	$150.84	$199.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $137.00 / $219.76	Professional		$74.00	$137.00	$219.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.24 / $139.74 / $218.10	Facility		$109.24	$139.74	$218.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.13 / $120.27 / $132.82	Professional		$60.13	$120.27	$132.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $186.55 / $286.80	Professional		$136.29	$186.55	$286.80
United Facility/Professional Professional Modifier Low / Median / High Price $109.25 / $139.72 / $210.65	Professional		$109.25	$139.72	$210.65