Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.26 / $161.71 / $897.06	Facility		$96.26	$161.71	$897.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $406.45 / $621.98 / $1,076.09	Facility	25	$406.45	$621.98	$1,076.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.12 / $119.67 / $169.79	Professional		$90.12	$119.67	$169.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $129.00 / $704.48 / $905.76	Professional	25	$129.00	$704.48	$905.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $133.85 / $435.66	Professional		$110.05	$133.85	$435.66
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $110.05 / $145.82 / $429.61	Professional	25	$110.05	$145.82	$429.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $157.38 / $188.55	Professional		$121.06	$157.38	$188.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,016.00 / $1,016.00 / $1,016.00	Facility		$1,016.00	$1,016.00	$1,016.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.62 / $123.75 / $340.82	Professional		$96.62	$123.75	$340.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $106.12 / $170.25	Professional		$85.39	$106.12	$170.25