Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $592.02 / $980.80	Facility		$63.06	$592.02	$980.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $479.43 / $748.44 / $962.94	Facility	25	$479.43	$748.44	$962.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $66.65 / $183.48	Professional		$47.29	$66.65	$183.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.06 / $141.77 / $477.36	Professional	25	$70.06	$141.77	$477.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $90.58 / $217.36	Professional		$66.73	$90.58	$217.36
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.73 / $92.97 / $254.39	Professional	25	$66.73	$92.97	$254.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.31 / $257.52 / $396.00	Facility		$130.31	$257.52	$396.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.88 / $89.28 / $94.60	Professional		$76.88	$89.28	$94.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $155.00	Facility		$82.02	$82.02	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $96.39 / $133.61	Professional		$62.43	$96.39	$133.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $111.65 / $451.46	Professional		$73.91	$111.65	$451.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $108.99	Professional		$32.34	$32.34	$108.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $82.18 / $128.25	Professional		$57.64	$82.18	$128.25