Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.34 / $94.68 / $257.39	Facility		$85.34	$94.68	$257.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.34 / $96.43 / $130.07	Professional		$85.34	$96.43	$130.07
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $276.76 / $587.52 / $1,320.56	Professional	25	$276.76	$587.52	$1,320.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $101.77 / $155.07	Professional		$96.92	$101.77	$155.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $101.77 / $121.16 / $387.25	Professional	25	$101.77	$121.16	$387.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $136.47 / $173.13	Professional		$106.61	$136.47	$173.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,286.00 / $1,286.00 / $1,286.00	Facility		$1,286.00	$1,286.00	$1,286.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $129.50 / $272.07	Professional		$92.03	$129.50	$272.07
United Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $109.58 / $163.74	Professional		$88.17	$109.58	$163.74
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $234.81	Professional	25	$80.00	$80.00	$234.81