Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $159.87 / $228.94	Facility		$118.56	$159.87	$228.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $229.36 / $444.77	Professional		$159.87	$229.36	$444.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.52 / $263.14 / $463.84	Professional	25	$52.52	$263.14	$463.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.26 / $258.88 / $463.40	Professional		$161.26	$258.88	$463.40
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $258.88 / $258.88 / $258.88	Professional	25	$258.88	$258.88	$258.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $284.31 / $511.76	Facility		$147.91	$284.31	$511.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.39 / $260.95 / $404.93	Professional		$186.39	$260.95	$404.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $159.87 / $228.94 / $361.01	Facility		$159.87	$228.94	$361.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $136.36 / $249.67	Professional		$136.36	$136.36	$249.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.35 / $278.38 / $348.81	Professional		$213.35	$278.38	$348.81
United Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $257.89 / $435.42	Professional		$210.75	$257.89	$435.42