Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $32.74 / $95.82	Professional		$21.39	$32.74	$95.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $23.21 / $32.58	Professional		$18.45	$23.21	$32.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.38 / $35.53 / $39.42	Professional		$22.38	$35.53	$39.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $31.87 / $59.70	Professional		$20.90	$31.87	$59.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $28.82 / $128.16	Professional		$19.64	$28.82	$128.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.88 / $26.23	Professional		$23.21	$23.88	$26.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $32.34 / $32.34	Professional		$24.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $35.85 / $54.32	Professional		$23.38	$35.85	$54.32