Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $1,464.00 / $1,464.00	Facility		$146.59	$1,464.00	$1,464.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $486.08 / $555.52 / $555.52	Facility	25	$486.08	$555.52	$555.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $103.72 / $176.83	Professional		$86.51	$103.72	$176.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.60 / $402.52 / $822.80	Professional	25	$190.60	$402.52	$822.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.84 / $136.97 / $371.26	Professional		$97.84	$136.97	$371.26
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $97.84 / $136.97 / $244.60	Professional	25	$97.84	$136.97	$244.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $145.16 / $145.16	Professional		$132.91	$145.16	$145.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $126.03 / $180.28	Professional		$99.70	$126.03	$180.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $88.06	Professional		$32.34	$32.34	$88.06
United Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $119.65 / $164.44	Professional		$103.28	$119.65	$164.44
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $90.00	Professional	25	$80.00	$80.00	$90.00