Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.68 / $257.68 / $257.68	Facility		$257.68	$257.68	$257.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $125.87 / $166.60	Professional		$90.68	$125.87	$166.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $103.41 / $119.99 / $135.00	Professional	25	$103.41	$119.99	$135.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.81 / $116.81 / $147.88	Professional		$116.81	$116.81	$147.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $116.81 / $129.59 / $140.16	Professional	25	$116.81	$129.59	$140.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $114.65 / $147.76	Professional		$93.80	$114.65	$147.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $130.00	Professional		$116.36	$116.36	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $103.43 / $152.47	Professional		$82.10	$103.43	$152.47