Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.52 / $26.49 / $71.40	Facility		$12.52	$26.49	$71.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $13.17 / $22.72	Professional		$10.53	$13.17	$22.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.07 / $21.00 / $21.00	Professional	25	$13.07	$21.00	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.95 / $26.85	Professional		$12.91	$16.95	$26.85
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $11.09 / $16.14 / $24.17	Professional	25	$11.09	$16.14	$24.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $14.21 / $15.62	Facility		$14.21	$14.21	$15.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $22.20 / $22.20	Professional		$21.04	$22.20	$22.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $14.39 / $20.26	Professional		$11.20	$14.39	$20.26
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 $12.09 / $14.43 / $19.61	Professional		$12.09	$14.43	$19.61