Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.18 / $740.16 / $814.40	Facility		$124.18	$740.16	$814.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $536.25 / $798.40 / $814.40	Facility	25	$536.25	$798.40	$814.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.95 / $124.06 / $564.40	Professional		$90.95	$124.06	$564.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $107.00 / $393.00 / $818.00	Professional	25	$107.00	$393.00	$818.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $149.69 / $187.50	Professional		$107.06	$149.69	$187.50
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $91.00 / $147.29 / $179.26	Professional	25	$91.00	$147.29	$179.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $92.82 / $107.32	Professional		$91.00	$92.82	$107.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $4,137.00 / $4,137.00	Facility		$143.15	$4,137.00	$4,137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $128.83 / $215.60	Professional		$104.49	$128.83	$215.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $94.48 / $129.00 / $226.64	Facility		$94.48	$129.00	$226.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $134.00 / $296.04	Professional		$90.00	$134.00	$296.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $113.57 / $178.53	Professional		$82.42	$113.57	$178.53
United Facility/Professional Professional Modifier Low / Median / High Price $98.74 / $119.65 / $191.16	Professional		$98.74	$119.65	$191.16
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $234.81	Professional	25	$80.00	$80.00	$234.81