Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $168.96 / $266.69	Facility		$117.29	$168.96	$266.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $167.92 / $325.64	Professional		$115.18	$167.92	$325.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $162.34 / $216.61 / $440.40	Professional	25	$162.34	$216.61	$440.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $165.59 / $341.87	Professional		$118.65	$165.59	$341.87
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $190.99 / $190.99 / $227.28	Professional	25	$190.99	$190.99	$227.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.32 / $222.38 / $374.39	Facility		$114.32	$222.38	$374.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $187.96 / $300.27	Professional		$133.51	$187.96	$300.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.29 / $168.96 / $257.83	Facility		$117.29	$168.96	$257.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $94.60 / $176.81	Professional		$94.60	$94.60	$176.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.01 / $208.78 / $261.61	Professional		$160.01	$208.78	$261.61
United Facility/Professional Professional Modifier Low / Median / High Price $144.51 / $180.39 / $321.77	Professional		$144.51	$180.39	$321.77