Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $91.88 / $215.97	Facility		$17.59	$91.88	$215.97
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $53.20 / $124.02 / $199.69	Facility	25	$53.20	$124.02	$199.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $18.91 / $40.08	Professional		$7.34	$18.91	$40.08
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.64 / $34.79 / $74.00	Professional	25	$20.64	$34.79	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.15 / $37.86	Professional		$17.98	$21.15	$37.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $21.15 / $24.32 / $30.93	Professional	25	$21.15	$24.32	$30.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.41 / $72.84 / $299.83	Facility		$28.41	$72.84	$299.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $19.00 / $22.86	Professional		$18.00	$19.00	$22.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $238.15	Facility		$11.66	$11.66	$238.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $19.13 / $34.60	Professional		$9.05	$19.13	$34.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.26 / $21.31 / $33.36	Facility		$8.26	$21.31	$33.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $24.34 / $26.78	Professional		$23.00	$24.34	$26.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $36.39 / $56.45	Professional		$26.31	$36.39	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $21.78 / $35.69	Professional		$17.39	$21.78	$35.69