Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $602.56 / $977.24	Facility		$63.10	$602.56	$977.24
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $478.63 / $758.58 / $954.99	Facility	25	$478.63	$758.58	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $218.78	Professional		$51.29	$70.79	$218.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $131.83 / $323.59	Professional	25	$66.07	$131.83	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $117.49	Professional		$57.54	$75.86	$117.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $77.62 / $117.49	Professional	25	$64.57	$77.62	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $407.38	Facility		$128.82	$257.04	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $95.50	Professional		$77.62	$89.13	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $93.33 / $141.25	Professional		$63.10	$93.33	$141.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $169.82 / $630.96	Professional		$72.44	$169.82	$630.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $954.99	Facility		$724.44	$724.44	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $125.89	Professional		$57.54	$79.43	$125.89