Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $58.52 / $58.52	Facility		$58.52	$58.52	$58.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $24.66 / $55.91	Professional		$17.54	$24.66	$55.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.73 / $26.28	Professional		$11.25	$13.73	$26.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $33.97 / $39.50	Professional		$27.73	$33.97	$39.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $26.26 / $46.76	Professional		$11.51	$26.26	$46.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $40.02 / $110.65	Professional		$27.62	$40.02	$110.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.76	Professional		$32.34	$32.34	$36.76
United Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $27.97 / $43.46	Professional		$16.44	$27.97	$43.46