Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $64.57	Professional		$21.38	$29.51	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $26.30	Professional		$23.44	$23.44	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $44.67	Professional		$24.55	$29.51	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $30.20 / $44.67	Professional		$20.42	$30.20	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.88 / $100.00	Professional		$22.91	$33.88	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $32.36	Professional		$28.84	$30.20	$32.36
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 $19.50 / $24.55 / $42.66	Professional		$19.50	$24.55	$42.66