Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $85.11 / $181.97	Professional		$42.66	$85.11	$181.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $97.72 / $186.21	Professional	25	$64.57	$97.72	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $79.43 / $93.33	Professional		$69.18	$79.43	$93.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $77.62 / $89.13	Professional	25	$75.86	$77.62	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $134.90	Professional		$53.70	$87.10	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $144.54	Professional		$44.67	$79.43	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $93.33 / $173.78	Professional		$41.69	$93.33	$173.78
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 $42.66 / $70.79 / $114.82	Professional		$42.66	$70.79	$114.82