Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.87 / $93.87 / $115.43	Facility		$93.87	$93.87	$115.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $124.67 / $190.31	Professional		$93.87	$124.67	$190.31
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.32 / $63.32 / $63.32	Professional	25	$63.32	$63.32	$63.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.29 / $177.29 / $177.29	Professional		$177.29	$177.29	$177.29
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 $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
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 $104.98 / $153.59 / $213.11	Professional		$104.98	$153.59	$213.11