Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $76.16 / $124.16	Facility		$13.26	$76.16	$124.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $70.56 / $76.70 / $271.58	Facility	25	$70.56	$76.70	$271.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $18.89 / $43.47	Professional		$6.44	$18.89	$43.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $17.17 / $32.25 / $68.40	Professional	25	$17.17	$32.25	$68.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $22.86 / $31.23	Professional		$16.84	$22.86	$31.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.18 / $23.39 / $28.38	Professional	25	$19.18	$23.39	$28.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.25 / $28.80 / $63.50	Facility		$24.25	$28.80	$63.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $19.89 / $25.85	Professional		$9.15	$19.89	$25.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $135.00 / $155.00	Facility		$11.66	$135.00	$155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $21.46 / $36.49	Professional		$9.25	$21.46	$36.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $28.77 / $56.63	Professional		$10.83	$28.77	$56.63
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 $10.53 / $10.83 / $27.70	Professional		$10.53	$10.83	$27.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $32.34 / $34.38	Professional		$29.24	$32.34	$34.38
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $26.30 / $42.55	Professional		$19.22	$26.30	$42.55