Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $127.16 / $620.00	Facility		$33.52	$127.16	$620.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $182.00 / $182.00 / $182.00	Facility	25	$182.00	$182.00	$182.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.79 / $43.78 / $79.00	Professional		$26.79	$43.78	$79.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $29.25 / $58.95 / $154.00	Professional	25	$29.25	$58.95	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $47.20 / $86.48	Professional		$26.52	$47.20	$86.48
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.90 / $52.19 / $53.19	Professional	25	$41.90	$52.19	$53.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $39.59 / $64.76	Professional		$23.75	$39.59	$64.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $140.00 / $175.00	Facility		$46.99	$140.00	$175.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.02 / $48.32 / $77.51	Professional		$31.02	$48.32	$77.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.86 / $85.48	Professional		$32.34	$47.86	$85.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $44.25 / $57.68	Facility		$26.79	$44.25	$57.68
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $29.37 / $29.37 / $29.37	Facility	62	$29.37	$29.37	$29.37
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $4.70 / $4.70 / $4.70	Facility	AS	$4.70	$4.70	$4.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $58.00 / $102.82	Professional		$32.27	$58.00	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $62.71 / $90.87	Professional		$47.05	$62.71	$90.87