Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $65.89 / $114.26	Professional		$38.11	$65.89	$114.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.40 / $115.00 / $188.03	Professional	25	$66.40	$115.00	$188.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $76.79 / $76.79	Professional		$73.18	$76.79	$76.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.55 / $99.55 / $99.55	Professional	25	$99.55	$99.55	$99.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.38 / $85.23 / $126.66	Professional		$49.38	$85.23	$126.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $74.69 / $145.09	Professional		$43.90	$74.69	$145.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $84.54 / $165.90	Professional		$41.47	$84.54	$165.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $122.38	Professional		$32.34	$32.34	$122.38
United Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $85.05 / $128.30	Professional		$67.56	$85.05	$128.30