Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.61 / $157.77 / $170.99	Facility		$122.61	$157.77	$170.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.15 / $131.63 / $200.22	Professional		$105.15	$131.63	$200.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.32 / $152.75 / $261.39	Professional	25	$63.32	$152.75	$261.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $179.45 / $246.80	Professional		$179.45	$179.45	$246.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $259.39 / $259.39 / $259.39	Professional	25	$259.39	$259.39	$259.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.72 / $114.72 / $114.72	Facility		$114.72	$114.72	$114.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $156.63 / $197.69	Professional		$118.34	$156.63	$197.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $147.90 / $147.90	Professional		$70.41	$147.90	$147.90
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $298.30 / $298.30 / $298.30	Professional	25	$298.30	$298.30	$298.30
United Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $163.68 / $229.13	Professional		$110.14	$163.68	$229.13