Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $30.45 / $79.73	Professional		$24.42	$30.45	$79.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $22.08 / $30.44	Professional		$19.93	$22.08	$30.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $39.20 / $51.23	Professional		$29.89	$39.20	$51.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $33.54 / $55.03	Professional		$24.13	$33.54	$55.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $36.92 / $113.80	Professional		$25.60	$36.92	$113.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $28.78 / $31.37	Professional		$27.96	$28.78	$31.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $32.34 / $35.47	Professional		$30.11	$32.34	$35.47
United Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $32.46 / $50.91	Professional		$25.34	$32.46	$50.91