Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $91.20 / $107.15	Facility		$75.86	$91.20	$107.15
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $194.98 / $194.98 / $281.84	Facility	25	$194.98	$194.98	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $251.19	Professional		$48.98	$107.15	$251.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $120.23 / $269.15	Professional	25	$56.23	$120.23	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $309.03 / $309.03	Professional	50	$234.42	$309.03	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $154.88	Professional		$81.28	$114.82	$154.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $91.20 / $120.23 / $154.88	Professional	25	$91.20	$120.23	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $218.78	Professional		$72.44	$117.49	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $151.36	Facility		$114.82	$134.90	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $223.87	Professional		$74.13	$107.15	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $138.04	Professional		$61.66	$87.10	$138.04