Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $174.93 / $216.43	Facility		$149.72	$174.93	$216.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.03 / $183.97 / $282.00	Professional		$143.03	$183.97	$282.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $165.48 / $210.07 / $375.00	Professional	25	$165.48	$210.07	$375.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.82 / $248.22 / $351.65	Professional		$175.82	$248.22	$351.65
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $184.32 / $249.56 / $424.26	Professional	25	$184.32	$249.56	$424.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.08 / $91.08 / $127.94	Facility		$91.08	$91.08	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.01 / $217.40 / $217.40	Professional		$198.01	$217.40	$217.40
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 $162.47 / $202.89 / $270.77	Professional		$162.47	$202.89	$270.77
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 Professional Modifier Low / Median / High Price $170.00 / $197.92 / $272.45	Professional		$170.00	$197.92	$272.45
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $88.00 / $88.00	Professional	25	$80.00	$88.00	$88.00