Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.89 / $188.37 / $316.10	Facility		$50.89	$188.37	$316.10
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.44 / $29.03 / $198.30	Facility	52	$25.44	$29.03	$198.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $37.86 / $70.97	Professional		$30.02	$37.86	$70.97
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $68.33 / $130.97 / $281.56	Professional	22	$68.33	$130.97	$281.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $15.01 / $17.84 / $26.17	Professional	52	$15.01	$17.84	$26.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $41.95 / $49.14	Professional		$32.60	$41.95	$49.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.22 / $46.90 / $53.74	Professional		$35.22	$46.90	$53.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $57.25 / $75.00	Facility		$42.68	$57.25	$75.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $47.83 / $71.08	Professional		$30.29	$47.83	$71.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $44.17 / $138.69	Professional		$27.34	$44.17	$138.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.84 / $53.51	Professional		$32.34	$47.84	$53.51
United Facility/Professional Professional Modifier Low / Median / High Price $32.18 / $40.78 / $70.95	Professional		$32.18	$40.78	$70.95