Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $143.50 / $234.50	Facility		$107.62	$143.50	$234.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $123.45 / $159.01	Professional		$103.42	$123.45	$159.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $161.44 / $183.02	Professional	25	$69.18	$161.44	$183.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $172.86 / $215.31	Professional		$130.46	$172.86	$215.31
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $145.03 / $170.68 / $219.38	Professional	25	$145.03	$170.68	$219.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $146.57 / $226.04	Professional		$105.58	$146.57	$226.04
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 $100.97 / $141.12 / $298.67	Professional		$100.97	$141.12	$298.67
United Facility/Professional Professional Modifier Low / Median / High Price $100.51 / $129.05 / $185.41	Professional		$100.51	$129.05	$185.41