Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $70.79 / $158.49	Professional		$19.95	$70.79	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.42 / $25.70	Professional		$15.14	$20.42	$25.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $30.90	Professional		$25.12	$28.84	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.44 / $42.66	Professional		$21.38	$23.44	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $74.13	Professional		$23.44	$37.15	$74.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $30.20	Professional		$27.54	$27.54	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.30 / $36.31	Professional		$13.80	$26.30	$36.31