Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $107.15	Professional		$30.90	$42.66	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $7.59 / $50.12	Professional		$3.24	$7.59	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $128.82	Professional		$33.88	$66.07	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $251.19	Professional		$31.62	$61.66	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $42.66	Professional		$38.02	$38.90	$42.66
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 $48.98 / $79.43 / $123.03	Professional		$48.98	$79.43	$123.03