Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $112.20	Facility		$87.10	$87.10	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $87.10	Professional		$61.66	$70.79	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $91.20	Professional		$69.18	$79.43	$91.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $75.86 / $75.86	Professional	25	$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $112.20	Professional		$75.86	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $138.04	Professional		$61.66	$91.20	$138.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $114.82	Professional		$72.44	$89.13	$114.82