Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.25 / $34.81 / $49.08	Facility		$31.25	$34.81	$49.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $37.04 / $64.59	Professional		$23.91	$37.04	$64.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.27 / $41.27 / $144.00	Professional	25	$41.27	$41.27	$144.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.96 / $14.90 / $19.80	Professional	52	$11.96	$14.90	$19.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $52.80 / $63.78	Professional		$35.63	$52.80	$63.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $162.18 / $299.83	Facility		$128.37	$162.18	$299.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $37.00 / $56.70	Professional		$25.13	$37.00	$56.70
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 / $40.26	Professional		$34.82	$34.82	$40.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $37.00 / $60.31	Facility		$27.85	$37.00	$60.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $37.00 / $47.78	Professional		$33.25	$37.00	$47.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $36.48 / $56.45	Professional		$27.41	$36.48	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $37.44 / $57.83	Professional		$29.30	$37.44	$57.83