Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.38 / $112.63 / $285.20	Facility		$81.38	$112.63	$285.20
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $142.80 / $350.40 / $374.00	Facility	25	$142.80	$350.40	$374.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.65 / $100.72 / $165.00	Professional		$67.65	$100.72	$165.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.57 / $102.37 / $169.00	Professional	25	$57.57	$102.37	$169.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.71 / $128.62 / $173.16	Professional		$88.71	$128.62	$173.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $110.88 / $137.37 / $190.00	Professional	25	$110.88	$137.37	$190.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.31 / $91.31 / $127.94	Facility		$91.31	$91.31	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $125.95 / $125.95	Professional		$115.00	$125.95	$125.95
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 $78.26 / $105.23 / $143.91	Professional		$78.26	$105.23	$143.91
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 $82.34 / $101.00 / $139.38	Professional		$82.34	$101.00	$139.38