Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.55 / $748.16 / $3,824.76	Facility		$126.55	$748.16	$3,824.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $451.56 / $915.23 / $2,581.60	Facility	25	$451.56	$915.23	$2,581.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $118.43 / $433.75	Professional		$86.75	$118.43	$433.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.09 / $301.07 / $905.76	Professional	25	$97.09	$301.07	$905.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $121.61 / $202.50 / $423.05	Professional		$121.61	$202.50	$423.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $115.52 / $168.17 / $423.05	Professional	25	$115.52	$168.17	$423.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $452.72 / $713.86 / $894.46	Facility		$452.72	$713.86	$894.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $124.00 / $142.00	Professional		$115.00	$124.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $127.74 / $224.22	Professional		$104.01	$127.74	$224.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $136.00 / $253.66	Facility		$107.16	$136.00	$253.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $151.88 / $243.47	Professional		$109.92	$151.88	$243.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $116.61 / $230.80	Professional		$97.58	$116.61	$230.80