Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $96.91 / $126.46	Facility		$56.48	$96.91	$126.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $77.17 / $114.12	Professional		$56.48	$77.17	$114.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $139.77 / $139.77	Professional		$139.77	$139.77	$139.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $139.77 / $139.77 / $139.77	Professional	25	$139.77	$139.77	$139.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $95.72 / $141.34	Professional		$65.09	$95.72	$141.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $98.99 / $148.78	Professional		$50.24	$98.99	$148.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $86.80 / $160.74	Professional		$86.80	$86.80	$160.74
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $160.74 / $160.74 / $160.74	Professional	25	$160.74	$160.74	$160.74
United Facility/Professional Professional Modifier Low / Median / High Price $74.67 / $88.81 / $141.80	Professional		$74.67	$88.81	$141.80