Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $81.95 / $128.41	Facility		$79.77	$81.95	$128.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $44.74 / $75.18	Professional		$28.92	$44.74	$75.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.76 / $32.59 / $47.28	Professional		$15.76	$32.59	$47.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $56.46 / $86.83	Professional		$38.84	$56.46	$86.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $27.44 / $76.83	Professional		$16.45	$27.44	$76.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $74.09 / $185.57	Professional		$44.37	$74.09	$185.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.67	Professional		$32.34	$32.34	$80.67
United Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $54.50 / $81.75	Professional		$34.47	$54.50	$81.75