Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $114.82	Facility		$102.33	$102.33	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $162.18	Professional		$100.00	$120.23	$162.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $125.89 / $169.82	Professional	25	$117.49	$125.89	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $162.18	Professional		$114.82	$134.90	$162.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $123.03 / $154.88	Professional	25	$117.49	$123.03	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $128.82	Professional		$91.20	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $467.74	Professional		$74.13	$144.54	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $154.88	Professional		$85.11	$117.49	$154.88