Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Facility		$47.86	$47.86	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $67.61	Professional		$39.81	$50.12	$67.61
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	25	$58.88	$58.88	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $66.07	Professional		$50.12	$63.10	$66.07
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	25	$66.07	$66.07	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $125.89 / $213.80	Facility		$72.44	$125.89	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $97.72	Professional		$51.29	$67.61	$97.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $53.70 / $70.79	Facility		$41.69	$53.70	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $489.78 / $645.65	Facility		$426.58	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $93.33	Professional		$46.77	$61.66	$93.33