Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $42.99 / $80.00	Facility		$32.24	$42.99	$80.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $79.38 / $79.38 / $79.38	Facility	25	$79.38	$79.38	$79.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $50.17 / $95.63	Professional		$31.65	$50.17	$95.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $38.32 / $68.51 / $135.05	Professional	25	$38.32	$68.51	$135.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $56.78 / $68.00	Professional		$45.33	$56.78	$68.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $44.88 / $44.88 / $44.88	Professional	25	$44.88	$44.88	$44.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.98 / $438.48 / $878.05	Facility		$204.98	$438.48	$878.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $53.79 / $55.40	Professional		$50.36	$53.79	$55.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $56.58 / $90.96	Professional		$37.61	$56.58	$90.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $72.38 / $145.59	Professional		$49.48	$72.38	$145.59
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 $55.66 / $58.46 / $65.48	Professional		$55.66	$58.46	$65.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $68.50	Professional		$32.34	$32.34	$68.50
United Facility/Professional Professional Modifier Low / Median / High Price $34.13 / $48.47 / $75.13	Professional		$34.13	$48.47	$75.13