Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Facility		$19.95	$19.95	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $56.23	Professional		$19.95	$25.70	$56.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $40.74 / $57.54	Professional	25	$27.54	$40.74	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $51.29	Professional		$22.91	$30.90	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $69.18	Professional		$24.55	$35.48	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $42.66	Professional		$19.95	$28.18	$42.66