Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $21.81 / $33.00	Professional		$17.47	$21.81	$33.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $25.00 / $29.95	Professional		$22.80	$25.00	$29.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $48.05 / $48.05	Facility		$48.05	$48.05	$48.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $28.88 / $38.35	Professional		$25.07	$28.88	$38.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.94 / $48.98	Professional		$19.73	$28.94	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $31.41 / $85.09	Professional		$18.62	$31.41	$85.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.63	Professional		$32.34	$32.34	$36.63
United Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $27.86 / $41.47	Professional		$21.14	$27.86	$41.47