Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.90 / $66.04 / $126.00	Facility		$43.90	$66.04	$126.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $246.32 / $246.32 / $246.32	Facility	25	$246.32	$246.32	$246.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $63.77 / $90.90	Professional		$42.47	$63.77	$90.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.03 / $68.18 / $115.20	Professional	25	$56.03	$68.18	$115.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $84.04 / $107.10	Professional		$63.79	$84.04	$107.10
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $54.22 / $67.78 / $96.00	Professional	25	$54.22	$67.78	$96.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $60.65 / $127.94	Facility		$60.65	$60.65	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $70.37 / $70.37	Professional		$64.00	$70.37	$70.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $135.00 / $142.00	Facility		$110.00	$135.00	$142.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $68.01 / $93.61	Professional		$46.55	$68.01	$93.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $71.05 / $98.21	Professional		$61.78	$71.05	$98.21