Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $229.09 / $707.95	Facility		$47.86	$229.09	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $478.63	Professional		$154.88	$245.47	$478.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $199.53 / $269.15 / $512.86	Professional	25	$199.53	$269.15	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $363.08	Professional		$190.55	$263.03	$363.08
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $223.87 / $263.03 / $331.13	Professional	25	$223.87	$263.03	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $512.86	Facility		$147.91	$263.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $263.03 / $398.11	Professional		$186.21	$263.03	$398.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $295.12	Facility		$151.36	$213.80	$295.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $154.88 / $234.42 / $363.08	Professional		$154.88	$234.42	$363.08