Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,071.52 / $3,715.35	Facility		$407.38	$1,071.52	$3,715.35
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $389.05 / $812.83 / $2,290.87	Facility	25	$389.05	$812.83	$2,290.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $724.44	Professional		$85.11	$117.49	$724.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $234.42 / $812.83	Professional	25	$95.50	$234.42	$812.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $302.00	Professional		$109.65	$162.18	$302.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $112.20 / $141.25 / $281.84	Professional	25	$112.20	$141.25	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $131.83	Professional		$117.49	$117.49	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $208.93	Professional		$100.00	$128.82	$208.93
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 $97.72 / $114.82 / $158.49	Professional		$97.72	$114.82	$158.49