Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $66.07 / $83.18	Facility		$37.15	$66.07	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $61.66	Professional		$30.20	$45.71	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $57.54 / $57.54 / $57.54	Professional	25	$57.54	$57.54	$57.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $70.79	Professional		$46.77	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $63.10 / $75.86	Professional	25	$41.69	$63.10	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Facility		$37.15	$37.15	$40.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Professional		$63.10	$63.10	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $69.18	Professional		$33.11	$46.77	$69.18
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 $114.82 / $181.97 / $263.03	Facility		$114.82	$181.97	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $54.95	Professional		$29.51	$38.90	$54.95