Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $35.48 / $102.33	Professional		$19.50	$35.48	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $38.02	Professional		$17.38	$25.12	$38.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $35.48 / $39.81	Professional		$22.39	$35.48	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $60.26	Professional		$22.39	$31.62	$60.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $128.82	Professional		$19.05	$33.88	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.99 / $26.30	Professional		$23.44	$23.99	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $35.48 / $54.95	Professional		$23.44	$35.48	$54.95