Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $97.15 / $97.15	Facility		$89.87	$97.15	$97.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $101.99 / $150.00	Professional		$83.80	$101.99	$150.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $2.40 / $119.93 / $144.63	Professional	25	$2.40	$119.93	$144.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $116.59 / $150.00	Professional		$105.00	$116.59	$150.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.11 / $145.74 / $145.74	Professional	25	$99.11	$145.74	$145.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Facility		$137.00	$137.00	$137.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
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 $96.40 / $115.42 / $152.47	Professional		$96.40	$115.42	$152.47