Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.79 / $87.03 / $171.00	Facility		$76.79	$87.03	$171.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $98.19 / $145.00	Professional		$67.01	$98.19	$145.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $68.69 / $102.44 / $170.97	Professional	25	$68.69	$102.44	$170.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $125.12 / $184.32	Professional		$93.43	$125.12	$184.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $100.10 / $125.12 / $203.32	Professional	25	$100.10	$125.12	$203.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $90.40 / $127.94	Facility		$90.40	$90.40	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $109.51 / $109.51	Professional		$99.00	$109.51	$109.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $135.00 / $142.00	Facility		$110.00	$135.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.13 / $100.80 / $136.31	Professional		$75.13	$100.80	$136.31
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 $87.16 / $102.55 / $137.18	Professional		$87.16	$102.55	$137.18