Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.66 / $69.51 / $96.12	Facility		$16.66	$69.51	$96.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $71.03 / $88.51	Professional		$57.07	$71.03	$88.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $58.34 / $73.17 / $139.44	Professional	25	$58.34	$73.17	$139.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $74.70 / $99.53	Professional		$72.93	$74.70	$99.53
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $74.70 / $96.10 / $154.44	Professional	25	$74.70	$96.10	$154.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.40 / $127.40 / $127.40	Facility		$127.40	$127.40	$127.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.44 / $88.32 / $88.32	Professional		$80.44	$88.32	$88.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $84.49 / $108.75	Professional		$68.23	$84.49	$108.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $83.28 / $115.68	Professional		$72.19	$83.28	$115.68