Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.43 / $263.14 / $314.39	Facility		$112.43	$263.14	$314.39
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $128.10 / $225.46 / $279.26	Facility	25	$128.10	$225.46	$279.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $148.84 / $351.08	Professional		$100.53	$148.84	$351.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $86.24 / $171.09 / $445.40	Professional	25	$86.24	$171.09	$445.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.91 / $180.16 / $287.00	Professional		$133.91	$180.16	$287.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $142.44 / $180.16 / $259.00	Professional	25	$142.44	$180.16	$259.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.13 / $228.30 / $572.85	Facility		$195.13	$228.30	$572.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.00 / $105.00 / $172.13	Professional		$98.00	$105.00	$172.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $191.64 / $238.15	Facility		$95.00	$191.64	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $149.46 / $262.39	Professional		$103.81	$149.46	$262.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $119.29 / $149.11 / $252.67	Facility		$119.29	$149.11	$252.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $130.00 / $178.00	Professional		$85.00	$130.00	$178.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $187.33 / $297.71	Professional		$137.30	$187.33	$297.71
United Facility/Professional Professional Modifier Low / Median / High Price $112.37 / $140.08 / $243.63	Professional		$112.37	$140.08	$243.63