Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $82.74 / $272.80	Facility		$49.40	$82.74	$272.80
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $43.51 / $113.30 / $150.60	Facility	25	$43.51	$113.30	$150.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $71.42 / $111.78	Professional		$51.21	$71.42	$111.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $55.71 / $82.23 / $120.00	Professional	25	$55.71	$82.23	$120.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $87.35 / $130.78	Professional		$60.24	$87.35	$130.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $76.81 / $91.23 / $165.68	Professional	25	$76.81	$91.23	$165.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.43 / $84.43 / $127.94	Facility		$84.43	$84.43	$127.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $88.87 / $88.87	Professional		$81.00	$88.87	$88.87
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 $50.13 / $71.45 / $98.59	Professional		$50.13	$71.45	$98.59
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 $58.09 / $72.25 / $97.37	Professional		$58.09	$72.25	$97.37