Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $380.19	Facility		$20.42	$28.18	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $69.18	Professional		$19.05	$33.88	$69.18
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $95.50 / $95.50	Professional	25	$64.57	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $30.20	Professional		$17.78	$22.39	$30.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $100.00 / $131.83	Facility		$69.18	$100.00	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $41.69	Professional		$25.12	$34.67	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $190.55	Facility		$41.69	$77.62	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $54.95	Professional		$19.95	$30.90	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $83.18	Professional		$23.44	$34.67	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $269.15 / $354.81	Facility		$39.81	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $60.26	Professional		$25.12	$38.02	$60.26