Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $167.75 / $295.94	Professional		$134.40	$167.75	$295.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $153.30 / $245.28 / $332.34	Professional	25	$153.30	$245.28	$332.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.30 / $156.18 / $233.25	Professional		$153.30	$156.18	$233.25
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $152.76 / $241.58 / $241.58	Professional	25	$152.76	$241.58	$241.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $96.71 / $191.63	Professional		$55.00	$96.71	$191.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $187.13 / $187.13	Facility		$187.13	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $172.00	Professional		$147.60	$147.60	$172.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $155.36 / $167.75 / $285.18	Facility		$155.36	$167.75	$285.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $155.36 / $234.15	Professional		$39.29	$155.36	$234.15
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 $133.11 / $165.49 / $269.08	Professional		$133.11	$165.49	$269.08