Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $95.33 / $99.06	Facility		$91.52	$95.33	$99.06
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $80.56 / $80.56 / $80.56	Facility	25	$80.56	$80.56	$80.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $14.72 / $28.62	Professional		$11.32	$14.72	$28.62
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $13.04 / $19.89 / $37.70	Professional	25	$13.04	$19.89	$37.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.31 / $20.91	Professional		$11.31	$14.31	$20.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $11.77 / $19.30 / $23.82	Professional	25	$11.77	$19.30	$23.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $50.29 / $116.32	Facility		$33.65	$50.29	$116.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $13.52	Professional		$12.26	$12.26	$13.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $15.71	Facility		$15.71	$15.71	$15.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $14.73 / $24.78	Professional		$11.58	$14.73	$24.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.61 / $25.13	Facility		$11.75	$14.61	$25.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $11.93 / $18.00	Professional		$9.75	$11.93	$18.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $17.30 / $220.40	Professional		$10.09	$17.30	$220.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $14.31 / $22.96	Professional		$11.17	$14.31	$22.96