Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.92 / $1,636.80 / $3,820.44	Facility		$332.92	$1,636.80	$3,820.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $352.03 / $2,105.96 / $2,397.42	Facility	25	$352.03	$2,105.96	$2,397.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $220.68 / $411.86	Professional		$174.31	$220.68	$411.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.95 / $247.52 / $892.84	Professional	25	$199.95	$247.52	$892.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $273.87 / $489.05	Professional		$195.62	$273.87	$489.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $195.62 / $244.53 / $489.05	Professional	25	$195.62	$244.53	$489.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.03 / $930.03 / $930.03	Facility		$930.03	$930.03	$930.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.93 / $323.27 / $323.27	Professional		$298.93	$323.27	$323.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.70 / $267.36 / $378.35	Professional		$203.70	$267.36	$378.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $176.06	Professional		$32.34	$32.34	$176.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,211.21 / $2,211.21 / $2,494.69	Facility		$2,211.21	$2,211.21	$2,494.69
United Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $270.51 / $376.09	Professional		$232.34	$270.51	$376.09