Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $74.09 / $117.50	Facility		$52.06	$74.09	$117.50
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $114.45 / $132.30 / $217.77	Facility	25	$114.45	$132.30	$217.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $62.21 / $81.33	Professional		$49.00	$62.21	$81.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $42.87 / $80.00 / $100.00	Professional	25	$42.87	$80.00	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $81.86 / $108.46	Professional		$59.93	$81.86	$108.46
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.58 / $83.37 / $110.51	Professional	25	$69.58	$83.37	$110.51
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $199.00 / $199.00 / $199.00	Professional	50	$199.00	$199.00	$199.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $74.05 / $113.87	Professional		$53.19	$74.05	$113.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $134.00 / $145.00	Facility		$115.00	$134.00	$145.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $67.98 / $149.72	Professional		$48.18	$67.98	$149.72
United Facility/Professional Professional Modifier Low / Median / High Price $49.50 / $67.51 / $93.05	Professional		$49.50	$67.51	$93.05