Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $69.53 / $92.70	Facility		$28.37	$69.53	$92.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $45.46 / $82.40	Professional		$30.31	$45.46	$82.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.37 / $46.37 / $46.37	Professional	25	$46.37	$46.37	$46.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $58.20 / $67.22	Professional		$44.77	$58.20	$67.22
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $112.03 / $112.03 / $112.03	Professional	25	$112.03	$112.03	$112.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.06 / $63.41 / $63.41	Facility		$61.06	$63.41	$63.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $46.00 / $49.23	Professional		$46.00	$46.00	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $44.96 / $62.09	Professional		$37.00	$44.96	$62.09
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 $33.77 / $37.52 / $51.48	Professional		$33.77	$37.52	$51.48