Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $79.43 / $102.33	Facility		$61.66	$79.43	$102.33
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $169.82 / $169.82 / $169.82	Facility	25	$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $102.33 / $208.93	Professional		$66.07	$102.33	$208.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $109.65 / $234.42	Professional	25	$67.61	$109.65	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $147.91	Professional		$77.62	$109.65	$147.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $109.65 / $147.91	Professional	25	$85.11	$109.65	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Facility		$91.20	$91.20	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.20	Professional		$100.00	$100.00	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $141.25	Facility		$109.65	$125.89	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $162.18	Professional		$74.13	$102.33	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $131.83	Professional		$64.57	$93.33	$131.83