Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $748.16 / $935.25	Facility		$51.46	$748.16	$935.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $748.16 / $841.80 / $1,122.40	Facility	25	$748.16	$841.80	$1,122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $66.91 / $224.98	Professional		$51.46	$66.91	$224.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.41 / $218.42 / $537.20	Professional	25	$61.41	$218.42	$537.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $118.71 / $119.38	Professional		$69.98	$118.71	$119.38
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $70.45 / $99.42 / $245.91	Professional	25	$70.45	$99.42	$245.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $422.02 / $511.78	Facility		$287.83	$422.02	$511.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $82.00 / $89.00	Professional		$76.00	$82.00	$89.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $77.15 / $121.59	Professional		$59.84	$77.15	$121.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $83.52 / $134.33	Facility		$63.58	$83.52	$134.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $81.10 / $126.15	Professional		$64.69	$81.10	$126.15
United Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $63.67 / $122.15	Professional		$52.74	$63.67	$122.15