Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $108.31 / $190.45	Professional		$63.35	$108.31	$190.45
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.43 / $121.30 / $237.24	Professional	25	$70.43	$121.30	$237.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.99 / $114.56 / $118.32	Professional		$88.99	$114.56	$118.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $90.95 / $114.56 / $148.79	Professional	25	$90.95	$114.56	$148.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.83 / $235.83 / $235.83	Facility		$235.83	$235.83	$235.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $124.02 / $189.50	Professional		$80.19	$124.02	$189.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $114.55 / $213.81	Professional		$64.06	$114.55	$213.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $124.31 / $241.46	Professional		$63.39	$124.31	$241.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.74	Professional		$32.34	$32.34	$182.74
United Facility/Professional Professional Modifier Low / Median / High Price $99.69 / $126.81 / $192.18	Professional		$99.69	$126.81	$192.18