Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $173.78	Professional		$38.90	$79.43	$173.78
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $107.15 / $263.03	Professional	25	$66.07	$107.15	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $81.28	Professional		$66.07	$75.86	$81.28
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	25	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $123.03	Professional		$48.98	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $77.62 / $138.04	Professional		$41.69	$77.62	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $165.96	Professional		$42.66	$93.33	$165.96
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 $40.74 / $67.61 / $109.65	Professional		$40.74	$67.61	$109.65