Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $94.41 / $136.91	Professional		$23.37	$94.41	$136.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.16 / $101.14 / $244.40	Professional	25	$21.16	$101.14	$244.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $114.32 / $160.05	Professional		$106.32	$114.32	$160.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $74.95 / $116.61 / $187.43	Professional	25	$74.95	$116.61	$187.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $87.32 / $142.49	Professional		$57.00	$87.32	$142.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $95.68 / $204.05	Professional		$57.57	$95.68	$204.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $96.29 / $165.09	Facility		$62.76	$96.29	$165.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $100.72 / $136.88	Professional		$78.41	$100.72	$136.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $107.55 / $128.12	Professional		$79.14	$107.55	$128.12