Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $44.73 / $76.20	Professional		$33.22	$44.73	$76.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.87 / $20.91 / $29.70	Professional	52	$17.87	$20.91	$29.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $34.57	Professional		$34.57	$34.57	$34.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $60.58 / $67.42	Professional		$38.15	$60.58	$67.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $125.47 / $171.25	Professional		$65.80	$125.47	$171.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $51.62 / $624.10	Professional		$33.59	$51.62	$624.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $41.18 / $44.73	Professional		$39.70	$41.18	$44.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $46.80	Professional		$32.34	$32.34	$46.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $52.78 / $96.75	Professional		$33.86	$52.78	$96.75