Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.79 / $40.79 / $51.00	Facility		$40.79	$40.79	$51.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $51.00 / $51.00 / $51.00	Facility	25	$51.00	$51.00	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $26.96 / $42.93	Professional		$22.22	$26.96	$42.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.33 / $28.63 / $61.22	Professional	25	$23.33	$28.63	$61.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $32.06 / $45.65	Professional		$24.88	$32.06	$45.65
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $28.01 / $45.65 / $45.65	Professional	25	$28.01	$45.65	$45.65
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 $28.50 / $28.50 / $30.37	Professional		$28.50	$28.50	$30.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $29.44 / $48.73	Professional		$23.16	$29.44	$48.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $23.33 / $28.15 / $47.14	Facility		$23.33	$28.15	$47.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.77 / $34.13	Professional		$19.05	$23.77	$34.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.71 / $63.26	Professional		$32.34	$40.71	$63.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.36 / $44.39	Professional		$21.77	$27.36	$44.39