Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $59.47 / $72.09	Professional		$55.66	$59.47	$72.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $64.84 / $74.09	Professional		$64.84	$64.84	$74.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.80 / $67.80 / $67.80	Professional	25	$67.80	$67.80	$67.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.90 / $149.82 / $162.80	Facility		$128.90	$149.82	$162.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $78.13 / $92.34	Professional		$56.56	$78.13	$92.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $90.21 / $160.02	Professional		$60.16	$90.21	$160.02
United Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $68.54 / $98.23	Professional		$55.59	$68.54	$98.23
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07