Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $552.50 / $826.98	Facility		$71.86	$552.50	$826.98
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $82.66 / $672.15 / $933.10	Facility	25	$82.66	$672.15	$933.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $66.00 / $103.00	Professional		$52.95	$66.00	$103.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.89 / $332.00 / $538.55	Professional	25	$63.89	$332.00	$538.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $88.26 / $163.43	Professional		$64.70	$88.26	$163.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $65.37 / $86.12 / $163.43	Professional	25	$65.37	$86.12	$163.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $77.19 / $77.19	Professional		$71.23	$77.19	$77.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $70.16 / $103.22	Professional		$59.46	$70.16	$103.22
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 $53.62 / $63.90 / $86.46	Professional		$53.62	$63.90	$86.46