Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $69.18 / $117.49	Facility		$15.85	$69.18	$117.49
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.79 / $87.10 / $134.90	Facility	25	$70.79	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.05 / $34.67	Professional		$7.08	$19.05	$34.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $27.54 / $53.70	Professional	25	$18.62	$27.54	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $20.89 / $28.84	Professional		$8.32	$20.89	$28.84
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.78 / $20.89 / $29.51	Professional	25	$17.78	$20.89	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $128.82	Facility		$11.22	$11.22	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Professional		$19.95	$19.95	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $141.25	Facility		$109.65	$125.89	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $30.20	Professional		$8.91	$19.05	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $27.54	Professional		$7.94	$17.38	$27.54