Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $316.23	Professional		$58.88	$93.33	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	25	$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $66.07	Professional		$46.77	$54.95	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $131.83	Professional		$85.11	$95.50	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $144.54	Professional		$60.26	$91.20	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $323.59	Professional		$60.26	$97.72	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
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 $67.61 / $91.20 / $147.91	Professional		$67.61	$91.20	$147.91