Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $77.62	Facility		$28.18	$37.15	$77.62
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	25	$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $100.00	Professional		$28.18	$47.86	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $32.36 / $54.95 / $109.65	Professional	25	$32.36	$54.95	$109.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $70.79	Professional		$30.20	$50.12	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $39.81 / $52.48 / $70.79	Professional	25	$39.81	$52.48	$70.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $89.13	Professional		$31.62	$46.77	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $134.90 / $151.36	Facility		$54.95	$134.90	$151.36
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	22	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	62	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.37 / $5.37 / $5.37	Facility	AS	$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $89.13	Professional		$25.70	$41.69	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $56.23	Professional		$20.42	$34.67	$56.23