Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Facility		$60.26	$60.26	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $158.49	Professional		$58.88	$75.86	$158.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.88 / $85.11 / $169.82	Professional	25	$58.88	$85.11	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $102.33	Professional		$61.66	$77.62	$102.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $60.26 / $70.79 / $93.33	Professional	25	$60.26	$70.79	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $162.18	Facility		$128.82	$151.36	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $97.72	Professional		$54.95	$83.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $263.03	Professional		$63.10	$102.33	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $147.91	Facility		$75.86	$75.86	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $120.23	Professional		$58.88	$81.28	$120.23