Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $36.32 / $58.14	Professional		$27.55	$36.32	$58.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $27.86	Professional		$27.86	$27.86	$27.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $60.86 / $62.73	Professional		$34.18	$60.86	$62.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $41.13 / $58.63	Professional		$29.31	$41.13	$58.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.68 / $47.54 / $132.53	Professional		$32.68	$47.54	$132.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.33 / $35.56 / $38.70	Professional		$34.33	$35.56	$38.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $43.76	Professional		$32.34	$32.34	$43.76
United Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $37.40 / $68.59	Professional		$27.06	$37.40	$68.59