Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $102.33	Facility		$79.43	$79.43	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $114.82	Professional		$56.23	$67.61	$114.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $117.49 / $186.21	Professional	25	$56.23	$117.49	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $75.86	Professional		$54.95	$64.57	$75.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $128.82 / $147.91	Professional	25	$69.18	$128.82	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $95.50	Professional		$64.57	$70.79	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $144.54	Professional		$58.88	$83.18	$144.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $102.33	Professional		$63.10	$77.62	$102.33