Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $23.38 / $36.04	Professional		$19.71	$23.38	$36.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.64 / $28.54	Professional		$19.95	$21.64	$28.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $42.44 / $49.68	Professional		$27.51	$42.44	$49.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.38 / $73.37 / $122.32	Professional		$33.38	$73.37	$122.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $35.17 / $71.17	Professional		$24.18	$35.17	$71.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $29.51 / $32.25	Professional		$28.57	$29.51	$32.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $32.34 / $34.72	Professional		$30.77	$32.34	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $30.44 / $51.39	Professional		$19.98	$30.44	$51.39