Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.37 / $107.89 / $143.85	Facility		$76.37	$107.89	$143.85
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $197.21 / $282.25 / $282.25	Facility	25	$197.21	$282.25	$282.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $90.58 / $115.93	Professional		$71.48	$90.58	$115.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $59.23 / $100.53 / $150.00	Professional	25	$59.23	$100.53	$150.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $116.90 / $155.91	Professional		$88.23	$116.90	$155.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $98.17 / $118.98 / $155.91	Professional	25	$98.17	$118.98	$155.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $112.10 / $160.63	Professional		$75.04	$112.10	$160.63
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 $71.50 / $101.47 / $216.15	Professional		$71.50	$101.47	$216.15
United Facility/Professional Professional Modifier Low / Median / High Price $68.53 / $90.85 / $135.47	Professional		$68.53	$90.85	$135.47