Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $263.03	Facility		$117.49	$169.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $371.54	Professional		$112.20	$169.82	$371.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $204.17 / $416.87	Professional	25	$128.82	$204.17	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $275.42	Professional		$131.83	$194.98	$275.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.49 / $194.98 / $229.09	Professional	25	$158.49	$194.98	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $354.81	Facility		$112.20	$208.93	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $295.12	Professional		$134.90	$190.55	$295.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $158.49 / $213.80	Facility		$109.65	$158.49	$213.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $645.65 / $851.14	Facility		$562.34	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $269.15	Professional		$114.82	$162.18	$269.15