Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.78 / $128.41 / $212.75	Professional		$78.78	$128.41	$212.75
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $88.34 / $211.62 / $290.00	Professional	25	$88.34	$211.62	$290.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.80 / $128.80 / $128.80	Professional	50	$128.80	$128.80	$128.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $135.85 / $176.33	Professional		$110.51	$135.85	$176.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $126.65 / $126.65 / $126.65	Professional	25	$126.65	$126.65	$126.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $146.88 / $224.43	Professional		$98.88	$146.88	$224.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $138.33 / $260.95	Professional		$86.57	$138.33	$260.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $149.80 / $293.47	Professional		$83.47	$149.80	$293.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.52	Professional		$32.34	$32.34	$215.52
United Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $147.27 / $226.81	Professional		$98.33	$147.27	$226.81