Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.40 / $74.45 / $123.77	Professional		$42.40	$74.45	$123.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $48.66 / $99.75 / $224.49	Professional	25	$48.66	$99.75	$224.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $80.63 / $93.09	Professional		$75.29	$80.63	$93.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $88.52 / $88.52 / $104.73	Professional	25	$88.52	$88.52	$104.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.81 / $226.81 / $226.81	Facility		$226.81	$226.81	$226.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $87.32 / $133.41	Professional		$53.35	$87.32	$133.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $78.37 / $147.37	Professional		$44.09	$78.37	$147.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $84.12 / $172.70	Professional		$41.96	$84.12	$172.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $129.13	Professional		$32.34	$32.34	$129.13
United Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $86.32 / $132.38	Professional		$62.69	$86.32	$132.38