Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.53 / $80.98 / $188.43	Facility		$35.53	$80.98	$188.43
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.38 / $73.75 / $156.91	Facility	25	$70.38	$73.75	$156.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $68.04 / $166.25	Professional		$36.90	$68.04	$166.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.22 / $88.40 / $191.51	Professional	25	$52.22	$88.40	$191.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $73.25 / $98.89	Professional		$50.51	$73.25	$98.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $65.30 / $73.25 / $88.90	Professional	25	$65.30	$73.25	$88.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.95 / $159.96 / $159.96	Facility		$123.95	$159.96	$159.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $67.04 / $81.97	Professional		$49.43	$67.04	$81.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $135.00 / $155.00	Facility		$62.64	$135.00	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $76.00 / $127.44	Professional		$48.75	$76.00	$127.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $96.01 / $164.76	Professional		$58.33	$96.01	$164.76
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $80.94 / $95.23	Professional		$56.17	$80.94	$95.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $109.88	Professional		$32.34	$32.34	$109.88
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $85.98 / $142.52	Professional		$65.62	$85.98	$142.52