Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.79 / $24.11 / $147.02	Facility		$23.79	$24.11	$147.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $38.72 / $53.96	Professional		$17.01	$38.72	$53.96
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Professional		$43.99	$43.99	$43.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.29 / $136.13 / $241.74	Facility		$63.29	$136.13	$241.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.79 / $30.11 / $48.96	Professional		$12.79	$30.11	$48.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
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 $17.64 / $37.99 / $50.95	Facility		$17.64	$37.99	$50.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $44.96 / $112.23	Professional		$39.88	$44.96	$112.23
United Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $61.71 / $85.91	Professional		$45.98	$61.71	$85.91