Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $25.35 / $53.03	Professional		$21.85	$25.35	$53.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $29.46 / $44.33	Professional		$25.04	$29.46	$44.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $29.17 / $42.99	Professional		$20.76	$29.17	$42.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $33.94 / $75.41	Professional		$24.16	$33.94	$75.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $29.91 / $32.68	Professional		$28.96	$29.91	$32.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $37.71	Professional		$32.34	$32.34	$37.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.32 / $44.19	Professional		$19.88	$26.32	$44.19