Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $338.84	Professional		$147.91	$213.80	$338.84
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $257.04 / $257.04 / $524.81	Professional	25	$257.04	$257.04	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $363.08	Professional		$190.55	$257.04	$363.08
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $257.04 / $346.74	Professional	25	$190.55	$257.04	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $229.09	Facility		$141.25	$169.82	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $245.47	Professional		$112.20	$169.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $549.54	Professional		$138.04	$245.47	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Facility		$151.36	$173.78	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $295.12	Professional		$131.83	$190.55	$295.12