Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $14.61 / $106.62	Facility		$14.61	$14.61	$106.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $18.98 / $59.85	Professional		$11.48	$18.98	$59.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.02 / $23.02 / $80.00	Professional	25	$23.02	$23.02	$80.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $18.96 / $23.48	Professional		$11.99	$18.96	$23.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.91 / $220.93 / $255.22	Facility		$132.91	$220.93	$255.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $35.00 / $56.15	Professional		$13.12	$35.00	$56.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $24.68 / $36.36	Professional		$17.53	$24.68	$36.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $25.41 / $46.00	Facility		$14.61	$25.41	$46.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Professional		$32.04	$32.04	$32.04
United Facility/Professional Professional Modifier Low / Median / High Price $13.67 / $17.41 / $29.55	Professional		$13.67	$17.41	$29.55