Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $131.83	Professional		$38.90	$67.61	$131.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.61 / $93.33 / $416.87	Professional	25	$67.61	$93.33	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $138.04	Professional		$70.79	$75.86	$138.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	25	$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $100.00	Professional		$39.81	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $120.23	Professional		$39.81	$63.10	$120.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $117.49	Facility		$43.65	$77.62	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $81.28	Professional		$36.31	$51.29	$81.28