Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.27 / $62.27 / $62.27	Facility		$62.27	$62.27	$62.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $25.28 / $37.52	Professional		$20.76	$25.28	$37.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $15.97 / $15.97	Professional		$13.31	$15.97	$15.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.36 / $20.49	Professional		$3.50	$18.36	$20.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $36.90 / $54.24	Professional		$13.00	$36.90	$54.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $56.30 / $145.06	Professional		$31.93	$56.30	$145.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $39.11 / $39.92	Professional		$36.19	$39.11	$39.92
United Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $36.22 / $95.00	Professional		$15.97	$36.22	$95.00