Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.65 / $144.69 / $218.09	Facility		$118.65	$144.69	$218.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $129.53 / $169.62	Professional		$103.90	$129.53	$169.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $121.35 / $152.04 / $199.43	Professional	25	$121.35	$152.04	$199.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.89 / $158.22 / $210.97	Professional		$120.89	$158.22	$210.97
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $150.69 / $158.22 / $203.43	Professional	25	$150.69	$158.22	$203.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $135.82 / $201.55	Professional		$97.90	$135.82	$201.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $134.00 / $145.00	Facility		$115.00	$134.00	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $155.91 / $325.12	Professional		$107.88	$155.91	$325.12
United Facility/Professional Facility Modifier Low / Median / High Price $188.95 / $188.95 / $188.95	Facility		$188.95	$188.95	$188.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $142.03 / $205.37	Professional		$112.48	$142.03	$205.37