Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.53 / $147.87 / $224.19	Facility		$55.53	$147.87	$224.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $113.09 / $203.79 / $275.07	Facility	25	$113.09	$203.79	$275.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.17 / $66.18 / $146.50	Professional		$40.17	$66.18	$146.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $55.47 / $90.21 / $219.69	Professional	25	$55.47	$90.21	$219.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $78.75 / $118.48	Professional		$47.03	$78.75	$118.48
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $56.26 / $71.15 / $118.48	Professional	25	$56.26	$71.15	$118.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.02 / $147.86 / $329.72	Facility		$110.02	$147.86	$329.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $49.72 / $68.39	Professional		$48.00	$49.72	$68.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $62.64 / $238.15	Facility		$62.64	$62.64	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $69.75 / $114.03	Professional		$46.82	$69.75	$114.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $44.20 / $71.00 / $115.04	Facility		$44.20	$71.00	$115.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $70.00 / $92.00	Professional		$47.00	$70.00	$92.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $74.75 / $117.88	Professional		$54.90	$74.75	$117.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $72.25 / $112.16	Professional		$58.06	$72.25	$112.16