Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $141.96 / $272.80	Facility		$38.63	$141.96	$272.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $209.60 / $209.60 / $573.13	Facility	25	$209.60	$209.60	$573.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $43.56 / $61.99	Professional		$27.50	$43.56	$61.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.97 / $51.78 / $75.00	Professional	25	$38.97	$51.78	$75.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $55.07 / $87.62	Professional		$32.15	$55.07	$87.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $42.56 / $51.30 / $92.00	Professional	25	$42.56	$51.30	$92.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $45.22 / $127.94	Facility		$45.22	$45.22	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $54.92 / $54.92	Professional		$50.00	$54.92	$54.92
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 $26.34 / $41.94 / $59.11	Professional		$26.34	$41.94	$59.11
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 $35.75 / $42.96 / $58.24	Professional		$35.75	$42.96	$58.24