Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.93 / $73.00 / $312.48	Facility		$18.93	$73.00	$312.48
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $279.04 / $279.04 / $279.04	Facility	25	$279.04	$279.04	$279.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $18.89 / $26.58	Professional		$7.40	$18.89	$26.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $15.70 / $25.27 / $74.00	Professional	25	$15.70	$25.27	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $21.19 / $22.80	Professional		$8.44	$21.19	$22.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $8.26 / $19.47 / $21.71	Professional	25	$8.26	$19.47	$21.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $16.51 / $26.21	Professional		$8.22	$16.51	$26.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $140.00 / $175.00	Facility		$11.66	$140.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $19.89 / $35.36	Professional		$10.41	$19.89	$35.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $32.34 / $34.52	Professional		$19.30	$32.34	$34.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $20.39 / $28.11	Facility		$8.26	$20.39	$28.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $22.00 / $44.73	Professional		$10.86	$22.00	$44.73
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $30.55 / $45.75	Professional		$23.38	$30.55	$45.75