Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $33.19 / $50.23	Professional		$22.80	$33.19	$50.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $41.27 / $144.00	Professional	25	$39.76	$41.27	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.04 / $16.60 / $23.00	Professional	52	$11.04	$16.60	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $36.54 / $37.84	Professional		$33.07	$36.54	$37.84
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $36.54 / $36.54 / $39.29	Professional	25	$36.54	$36.54	$39.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $27.32 / $47.59	Professional		$19.43	$27.32	$47.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
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
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $36.00 / $48.45	Facility		$24.61	$36.00	$48.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $59.20 / $101.79	Professional		$34.82	$59.20	$101.79
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $55.37 / $79.52	Professional		$39.69	$55.37	$79.52