Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.43 / $124.79 / $124.79	Facility		$115.43	$124.79	$124.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $137.57 / $195.00	Professional		$109.47	$137.57	$195.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $3.04 / $153.29 / $195.00	Professional	25	$3.04	$153.29	$195.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.40 / $185.88 / $185.88	Professional		$126.40	$185.88	$185.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Facility		$178.00	$178.00	$178.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $178.00 / $178.00	Professional		$178.00	$178.00	$178.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
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 $143.13 / $172.16 / $224.58	Professional		$143.13	$172.16	$224.58