Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $223.40 / $288.80	Facility		$90.30	$223.40	$288.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $57.51 / $171.31 / $212.11	Facility	25	$57.51	$171.31	$212.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $104.35 / $257.43	Professional		$64.25	$104.35	$257.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.59 / $115.23 / $300.00	Professional	25	$53.59	$115.23	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.58 / $121.61 / $202.69	Professional		$90.58	$121.61	$202.69
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $97.37 / $128.16 / $205.00	Professional	25	$97.37	$128.16	$205.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $169.61 / $457.23	Facility		$144.44	$169.61	$457.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $73.22 / $122.12	Professional		$60.00	$73.22	$122.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $129.72 / $238.15	Facility		$95.00	$129.72	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $107.55 / $183.80	Professional		$70.39	$107.55	$183.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $75.94 / $106.53 / $180.27	Facility		$75.94	$106.53	$180.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $89.00 / $132.00	Professional		$60.00	$89.00	$132.00
Medcost Facility/Professional Professional Modifier 50 Low / Median / High Price $133.50 / $133.50 / $141.86	Professional	50	$133.50	$133.50	$141.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $149.51 / $235.77	Professional		$109.81	$149.51	$235.77
United Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $103.33 / $171.15	Professional		$77.30	$103.33	$171.15