Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $67.45 / $91.82	Professional		$17.14	$67.45	$91.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $49.28 / $87.74 / $113.54	Professional	25	$49.28	$87.74	$113.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $80.45 / $121.16	Professional		$74.50	$80.45	$121.16
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $80.45 / $82.07 / $144.02	Professional	25	$80.45	$82.07	$144.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $61.00 / $101.88	Professional		$46.20	$61.00	$101.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $65.75 / $143.44	Professional		$40.81	$65.75	$143.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $68.25 / $116.67	Facility		$47.22	$68.25	$116.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $100.72 / $136.88	Professional		$78.41	$100.72	$136.88
United Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $71.89 / $90.22	Professional		$40.08	$71.89	$90.22