Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $65.45 / $80.20	Professional		$56.87	$65.45	$80.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $209.60 / $209.60 / $245.55	Professional	25	$209.60	$209.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Professional		$67.56	$67.56	$67.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $69.45 / $119.25	Professional		$41.59	$69.45	$119.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $103.41 / $131.88	Professional		$71.61	$103.41	$131.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.16	Professional		$32.34	$32.34	$110.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.13 / $67.18 / $91.59	Facility		$55.13	$67.18	$91.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.01 / $128.91 / $192.28	Professional		$73.01	$128.91	$192.28
United Facility/Professional Professional Modifier Low / Median / High Price $79.95 / $108.68 / $148.49	Professional		$79.95	$108.68	$148.49