Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $89.13 / $223.87	Facility		$53.70	$89.13	$223.87
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $251.19 / $275.42 / $275.42	Facility	25	$251.19	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $234.42	Professional		$64.57	$104.71	$234.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $123.03 / $275.42	Professional	25	$72.44	$123.03	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $162.18	Professional		$81.28	$112.20	$162.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $112.20 / $165.96	Professional	25	$87.10	$112.20	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $204.17 / $346.74	Facility		$134.90	$204.17	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $109.65	Professional		$57.54	$67.61	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $245.47	Facility		$95.50	$125.89	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $208.93	Professional		$77.62	$109.65	$208.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $144.54	Professional		$93.33	$114.82	$144.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $112.20 / $186.21	Facility		$70.79	$112.20	$186.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $144.54	Professional		$64.57	$91.20	$144.54