Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,070.25 / $2,196.37	Facility		$350.00	$1,070.25	$2,196.37
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $388.05 / $769.98 / $848.28	Facility	25	$388.05	$769.98	$848.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $117.06 / $175.10	Professional		$91.30	$117.06	$175.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $99.95 / $148.35 / $798.32	Professional	25	$99.95	$148.35	$798.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.54 / $156.16 / $418.17	Professional		$111.54	$156.16	$418.17
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $111.54 / $156.16 / $278.85	Professional	25	$111.54	$156.16	$278.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $129.08 / $129.08	Professional		$118.95	$129.08	$129.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.89 / $129.00 / $195.90	Professional		$101.89	$129.00	$195.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $115.88 / $157.31	Professional		$100.39	$115.88	$157.31