Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $588.84 / $3,715.35	Facility		$177.83	$588.84	$3,715.35
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $724.44 / $3,235.94 / $3,548.13	Facility	25	$724.44	$3,235.94	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $977.24	Professional		$169.82	$257.04	$977.24
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $346.74 / $1,318.26	Professional	25	$190.55	$346.74	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $389.05	Professional		$190.55	$239.88	$389.05
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $263.03 / $426.58	Professional	25	$194.98	$263.03	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,090.30	Facility		$1,380.38	$1,862.09	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $257.04	Professional		$154.88	$186.21	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $4,786.30	Facility		$331.13	$331.13	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $549.54	Professional		$213.80	$288.40	$549.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $363.08	Professional		$288.40	$309.03	$363.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $501.19	Facility		$194.98	$295.12	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
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 $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $398.11	Professional		$190.55	$251.19	$398.11