Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $47.86 / $125.89	Professional		$19.95	$47.86	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $20.89	Professional		$15.14	$18.62	$20.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.11 / $44.67	Professional		$28.84	$33.11	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $45.71	Professional		$20.42	$30.20	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $131.83	Professional		$20.42	$31.62	$131.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $26.30	Professional		$23.99	$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 $19.95 / $28.18 / $45.71	Professional		$19.95	$28.18	$45.71