Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,621.81 / $3,801.89	Facility		$204.17	$1,621.81	$3,801.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $645.65 / $1,348.96 / $2,398.83	Facility	25	$645.65	$1,348.96	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $645.65	Professional		$177.83	$234.42	$645.65
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.53 / $316.23 / $1,288.25	Professional	25	$199.53	$316.23	$1,288.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $489.78	Professional		$173.78	$239.88	$489.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $263.03 / $489.78	Professional	25	$194.98	$263.03	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $323.59	Professional		$288.40	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $446.68	Professional		$204.17	$275.42	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $3,467.37	Facility		$1,949.84	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $354.81	Professional		$190.55	$251.19	$354.81