Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $54.95	Facility		$16.22	$21.88	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $74.13	Professional		$19.05	$39.81	$74.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	25	$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $30.20	Professional		$18.20	$23.44	$30.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $38.90	Professional		$23.99	$29.51	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $53.70	Professional		$19.95	$31.62	$53.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $38.90 / $61.66	Facility		$23.44	$38.90	$61.66
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $34.67	Professional		$23.99	$23.99	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $46.77	Professional		$23.44	$33.11	$46.77