Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Facility		$56.23	$56.23	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $162.18	Professional		$56.23	$70.79	$162.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $109.65 / $186.21	Professional	25	$56.23	$109.65	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $77.62	Professional		$54.95	$69.18	$77.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $77.62 / $128.82	Professional	25	$66.07	$77.62	$128.82
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 $52.48 / $77.62 / $93.33	Professional		$52.48	$77.62	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $223.87	Professional		$57.54	$91.20	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $107.15	Professional		$53.70	$72.44	$107.15