Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.62 / $180.12 / $2,022.40	Facility		$84.62	$180.12	$2,022.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,727.35 / $3,014.40 / $3,014.40	Facility	25	$1,727.35	$3,014.40	$3,014.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $114.71 / $448.28	Professional		$85.98	$114.71	$448.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $102.96 / $384.85 / $1,255.60	Professional	25	$102.96	$384.85	$1,255.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $132.97 / $308.88	Professional		$101.96	$132.97	$308.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.74 / $127.44 / $165.16	Professional	25	$99.74	$127.44	$165.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.57 / $222.94 / $396.28	Facility		$158.57	$222.94	$396.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.55 / $132.13 / $147.53	Professional		$119.55	$132.13	$147.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $149.61 / $223.50	Professional		$102.32	$149.61	$223.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $170.09 / $641.55	Professional		$118.65	$170.09	$641.55
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $134.41 / $160.85	Professional		$126.52	$134.41	$160.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $168.27	Professional		$32.34	$32.34	$168.27
United Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $151.33 / $242.08	Professional		$112.33	$151.33	$242.08
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $85.00 / $255.60	Professional	25	$80.00	$85.00	$255.60