Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $114.97 / $198.83	Facility		$64.31	$114.97	$198.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $99.01 / $231.40	Professional		$64.18	$99.01	$231.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.19 / $121.70 / $319.91	Professional	25	$75.19	$121.70	$319.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.09 / $116.18 / $185.32	Professional		$82.09	$116.18	$185.32
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $82.09 / $111.29 / $176.00	Professional	25	$82.09	$111.29	$176.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $167.76 / $457.23	Facility		$143.38	$167.76	$457.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $65.00 / $105.93	Professional		$58.00	$65.00	$105.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $109.51 / $238.15	Facility		$95.00	$109.51	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $105.46 / $179.05	Professional		$72.68	$105.46	$179.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $105.00 / $167.40	Facility		$72.62	$105.00	$167.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $104.00 / $133.00	Professional		$65.00	$104.00	$133.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $148.64 / $234.64	Professional		$107.61	$148.64	$234.64
United Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $102.94 / $168.77	Professional		$83.38	$102.94	$168.77