Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $213.80 / $2,137.96	Facility		$169.82	$213.80	$2,137.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $977.24 / $1,000.00 / $1,548.82	Facility	25	$977.24	$1,000.00	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $724.44	Professional		$169.82	$245.47	$724.44
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $389.05 / $1,202.26	Professional	25	$190.55	$389.05	$1,202.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $323.59	Professional		$186.21	$223.87	$323.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $234.42 / $354.81	Professional	25	$194.98	$234.42	$354.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $354.81	Professional		$213.80	$275.42	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,288.25	Facility		$331.13	$331.13	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $724.44	Professional		$194.98	$288.40	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,041.74	Facility		$1,202.26	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $371.54	Professional		$169.82	$239.88	$371.54