Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.14 / $121.50 / $218.40	Facility		$43.14	$121.50	$218.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $184.76 / $184.76 / $184.76	Facility	25	$184.76	$184.76	$184.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $147.80 / $225.00	Professional		$108.81	$147.80	$225.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $113.87 / $159.16 / $270.20	Professional	25	$113.87	$159.16	$270.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $188.71 / $241.55	Professional		$150.97	$188.71	$241.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $141.16 / $184.32 / $304.39	Professional	25	$141.16	$184.32	$304.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.17 / $91.17 / $127.94	Facility		$91.17	$91.17	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $164.53 / $164.53	Professional		$150.00	$164.53	$164.53
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 $125.62 / $155.66 / $212.74	Professional		$125.62	$155.66	$212.74
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 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 $134.29 / $161.09 / $215.09	Professional		$134.29	$161.09	$215.09