Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $116.08 / $243.66	Facility		$105.67	$116.08	$243.66
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $21.14 / $21.14 / $333.00	Facility	25	$21.14	$21.14	$333.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $216.09 / $269.58	Professional		$156.72	$216.09	$269.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.13 / $254.22 / $300.00	Professional	25	$153.13	$254.22	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $249.82 / $312.27	Professional		$212.34	$249.82	$312.27
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $362.23 / $362.23 / $362.23	Professional	25	$362.23	$362.23	$362.23
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 $244.03 / $267.93 / $267.93	Professional		$244.03	$267.93	$267.93
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 $154.51 / $244.13 / $320.32	Professional		$154.51	$244.13	$320.32
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 $214.02 / $235.54 / $317.77	Professional		$214.02	$235.54	$317.77