Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $156.66 / $255.50	Professional		$109.12	$156.66	$255.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $130.56 / $192.00 / $332.99	Professional	25	$130.56	$192.00	$332.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.22 / $221.95 / $221.95	Professional		$221.22	$221.95	$221.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $153.60 / $153.60 / $153.60	Professional	25	$153.60	$153.60	$153.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.02 / $267.26 / $567.71	Facility		$205.02	$267.26	$567.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $158.56 / $229.53	Professional		$121.70	$158.56	$229.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $181.45	Professional		$147.90	$147.90	$181.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $86.86 / $158.10 / $273.00	Facility		$86.86	$158.10	$273.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $86.86 / $145.87	Professional		$86.86	$86.86	$145.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $187.33 / $298.85	Professional		$137.30	$187.33	$298.85
United Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $155.06 / $255.64	Professional		$86.86	$155.06	$255.64