Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $74.12 / $111.51	Professional		$44.03	$74.12	$111.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $100.00 / $100.00 / $100.00	Professional	25	$100.00	$100.00	$100.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $78.28 / $78.28 / $78.28	Professional	25	$78.28	$78.28	$78.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.97 / $58.71 / $84.94	Professional		$31.97	$58.71	$84.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $75.00 / $127.41	Professional		$42.52	$75.00	$127.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.76 / $124.71	Professional		$32.34	$105.76	$124.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.99 / $70.37 / $96.33	Facility		$47.99	$70.37	$96.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $73.98 / $125.55	Professional		$42.52	$73.98	$125.55
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $95.58 / $142.19	Professional		$66.12	$95.58	$142.19