Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $22.39	Facility		$11.75	$11.75	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $27.54	Professional		$7.94	$15.14	$27.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $0.30 / $0.30 / $17.38	Professional	25	$0.30	$0.30	$17.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $25.70	Professional		$13.80	$17.78	$25.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $16.98 / $16.98 / $16.98	Professional	25	$16.98	$16.98	$16.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $102.33 / $208.93	Facility		$61.66	$102.33	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.50 / $22.39	Professional		$11.22	$19.50	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $18.62	Professional		$15.85	$15.85	$18.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.60 / $29.51	Facility		$8.71	$16.60	$29.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $239.88	Facility		$181.97	$181.97	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.14 / $25.70	Professional		$8.51	$15.14	$25.70