Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $35.36 / $41.62	Facility		$31.21	$35.36	$41.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $49.60 / $129.68	Professional		$32.27	$49.60	$129.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.51 / $79.40 / $141.10	Professional	25	$46.51	$79.40	$141.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $52.61 / $81.77	Professional		$45.68	$52.61	$81.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $71.83 / $71.83 / $71.83	Professional	25	$71.83	$71.83	$71.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $41.00	Professional		$35.00	$35.00	$41.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $49.79 / $92.00	Professional		$36.35	$49.79	$92.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $45.68 / $84.96	Facility		$40.00	$45.68	$84.96
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $57.98 / $62.54 / $99.35	Facility	50	$57.98	$62.54	$99.35
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $7.73 / $8.34 / $13.25	Facility	80	$7.73	$8.34	$13.25
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $5.41 / $5.84 / $9.27	Facility	AS	$5.41	$5.84	$9.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.08 / $57.09	Professional		$32.34	$39.08	$57.09
United Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $39.35 / $68.11	Professional		$32.38	$39.35	$68.11