Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $123.94 / $175.29	Professional		$66.84	$123.94	$175.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $159.37 / $374.85	Professional	25	$80.00	$159.37	$374.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $135.53 / $167.54	Professional		$93.00	$135.53	$167.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $124.10 / $135.53 / $221.48	Professional	25	$124.10	$135.53	$221.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $113.38 / $182.01	Professional		$63.00	$113.38	$182.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $117.39 / $242.40	Professional		$70.00	$117.39	$242.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $126.00 / $198.13	Facility		$86.25	$126.00	$198.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $168.72 / $227.55	Professional		$131.36	$168.72	$227.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $122.45 / $152.66	Professional		$79.98	$122.45	$152.66