Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $69.18	Facility		$25.12	$33.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $64.57	Professional		$25.12	$38.02	$64.57
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.76 / $7.76 / $36.31	Professional	25	$7.76	$7.76	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $41.69	Professional		$30.90	$36.31	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $707.95	Facility		$93.33	$181.97	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $60.26	Professional		$44.67	$52.48	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $79.43	Professional		$41.69	$60.26	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $138.04	Professional		$40.74	$61.66	$138.04
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 $47.86 / $48.98 / $52.48	Professional		$47.86	$48.98	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $87.10	Facility		$38.90	$38.90	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $83.18	Professional		$38.02	$50.12	$83.18