Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.67 / $2,493.83 / $3,744.45	Facility		$282.67	$2,493.83	$3,744.45
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $362.71 / $2,821.44 / $3,467.00	Facility	25	$362.71	$2,821.44	$3,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $258.56 / $796.80	Professional		$179.24	$258.56	$796.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $176.83 / $313.02 / $1,301.52	Professional	25	$176.83	$313.02	$1,301.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.95 / $248.90 / $358.42	Professional		$181.95	$248.90	$358.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $199.12 / $252.79 / $358.42	Professional	25	$199.12	$252.79	$358.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,424.40 / $1,823.61 / $2,397.13	Facility		$1,424.40	$1,823.61	$2,397.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $186.30 / $245.00	Professional		$153.00	$186.30	$245.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $4,137.00 / $4,137.00	Facility		$286.33	$4,137.00	$4,137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.32 / $280.51 / $465.39	Professional		$216.32	$280.51	$465.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $194.31 / $280.60 / $480.88	Facility		$194.31	$280.60	$480.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $300.00 / $671.81	Professional		$175.00	$300.00	$671.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $219.70 / $303.23 / $478.11	Professional		$219.70	$303.23	$478.11
United Facility/Professional Facility Modifier Low / Median / High Price $5,405.17 / $5,405.17 / $5,405.17	Facility		$5,405.17	$5,405.17	$5,405.17
United Facility/Professional Professional Modifier Low / Median / High Price $225.16 / $269.27 / $442.85	Professional		$225.16	$269.27	$442.85