Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $91.20	Professional		$33.11	$42.66	$91.20
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	52	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $34.67	Professional		$16.98	$29.51	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $60.26 / $67.61	Professional		$38.02	$60.26	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $181.97	Professional		$79.43	$134.90	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $630.96	Professional		$32.36	$54.95	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $44.67	Professional		$39.81	$40.74	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $102.33	Professional		$33.88	$52.48	$102.33