Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.82 / $135.83 / $300.70	Facility		$112.82	$135.83	$300.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $243.75 / $243.75 / $281.39	Facility	25	$243.75	$243.75	$281.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $137.84 / $200.00	Professional		$105.15	$137.84	$200.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $126.60 / $166.84 / $260.00	Professional	25	$126.60	$166.84	$260.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $190.04 / $327.64	Professional		$135.85	$190.04	$327.64
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $131.06 / $187.83 / $327.64	Professional	25	$131.06	$187.83	$327.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.30 / $91.30 / $127.94	Facility		$91.30	$91.30	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $177.43 / $177.43	Professional		$161.99	$177.43	$177.43
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 $111.64 / $142.93 / $198.01	Professional		$111.64	$142.93	$198.01
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 $118.66 / $140.91 / $191.36	Professional		$118.66	$140.91	$191.36