Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.44 / $83.44 / $83.44	Facility		$83.44	$83.44	$83.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $31.28 / $69.53	Professional		$26.60	$31.28	$69.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $16.85 / $38.28	Professional		$16.73	$16.85	$38.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $48.44 / $58.06	Professional		$39.54	$48.44	$58.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $36.33 / $77.77	Professional		$16.92	$36.33	$77.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $59.20 / $230.69	Professional		$39.22	$59.20	$230.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $52.42	Professional		$32.34	$32.34	$52.42
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $43.30 / $77.18	Professional		$24.97	$43.30	$77.18