Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.98 / $116.77 / $180.57	Facility		$105.98	$116.77	$180.57
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $23.22 / $23.22 / $69.62	Facility	25	$23.22	$23.22	$69.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $157.61 / $193.21	Professional		$113.43	$157.61	$193.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $156.03 / $187.58 / $390.94	Professional	25	$156.03	$187.58	$390.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.29 / $211.44 / $255.00	Professional		$172.29	$211.44	$255.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $187.69 / $187.69 / $187.69	Professional	25	$187.69	$187.69	$187.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.93 / $188.93 / $188.93	Facility		$188.93	$188.93	$188.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.51 / $194.58 / $194.58	Professional		$178.51	$194.58	$194.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.80 / $184.80 / $184.80	Facility		$184.80	$184.80	$184.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $174.48 / $226.70	Professional		$106.80	$174.48	$226.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $171.34 / $235.08	Professional		$140.77	$171.34	$235.08