Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.87 / $113.80 / $170.00	Professional		$65.87	$113.80	$170.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.98 / $130.00 / $179.79	Professional	25	$68.98	$130.00	$179.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $148.54 / $148.54	Professional		$148.54	$148.54	$148.54
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $152.16 / $152.16 / $152.16	Professional	25	$152.16	$152.16	$152.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $107.23 / $197.78	Professional		$57.57	$107.23	$197.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $96.09 / $116.44 / $137.09	Professional		$96.09	$116.44	$137.09