Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $214.93 / $2,155.96	Facility		$169.94	$214.93	$2,155.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $470.00 / $973.38 / $1,553.93	Facility	25	$470.00	$973.38	$1,553.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.94 / $214.93 / $291.52	Professional		$169.94	$214.93	$291.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.95 / $329.00 / $1,330.08	Professional	25	$199.95	$329.00	$1,330.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.66 / $234.74 / $760.39	Professional		$193.66	$234.74	$760.39
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $195.62 / $242.07 / $440.15	Professional	25	$195.62	$242.07	$440.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.03 / $297.25 / $368.16	Professional		$213.03	$297.25	$368.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $1,286.00 / $1,286.00	Facility		$1,286.00	$1,286.00	$1,286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.46 / $281.20 / $604.72	Professional		$190.46	$281.20	$604.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,223.06 / $1,223.06 / $1,223.06	Facility		$1,223.06	$1,223.06	$1,223.06
United Facility/Professional Professional Modifier Low / Median / High Price $199.33 / $247.73 / $370.18	Professional		$199.33	$247.73	$370.18