Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $346.74 / $831.76	Facility		$72.44	$346.74	$831.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $218.78 / $707.95 / $933.25	Facility	25	$218.78	$707.95	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $478.63	Professional		$50.12	$67.61	$478.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.66 / $354.81 / $524.81	Professional	25	$61.66	$354.81	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $169.82	Professional		$66.07	$91.20	$169.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $81.28 / $177.83	Professional	25	$66.07	$81.28	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $77.62	Professional		$69.18	$69.18	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $117.49	Professional		$57.54	$70.79	$117.49
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 Professional Modifier Low / Median / High Price $53.70 / $64.57 / $87.10	Professional		$53.70	$64.57	$87.10