Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $19.14 / $26.48	Facility		$19.14	$19.14	$26.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.62 / $43.66	Professional		$19.14	$28.62	$43.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $43.66 / $43.66 / $43.66	Professional	25	$43.66	$43.66	$43.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.93 / $13.24 / $21.83	Professional	52	$8.93	$13.24	$21.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $34.74 / $47.93	Professional		$29.10	$34.74	$47.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $42.20 / $42.20 / $70.61	Professional	25	$42.20	$42.20	$70.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.84 / $31.84 / $35.02	Facility		$31.84	$31.84	$35.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Professional		$48.00	$48.00	$48.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
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 $30.80 / $38.74 / $62.47	Professional		$30.80	$38.74	$62.47