Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $19.36 / $63.90	Facility		$6.30	$19.36	$63.90
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $48.83 / $48.83 / $48.83	Facility	25	$48.83	$48.83	$48.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $14.28 / $29.29	Professional		$10.53	$14.28	$29.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.05 / $23.41 / $42.48	Professional	25	$19.05	$23.41	$42.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.99 / $19.91	Professional		$12.30	$13.99	$19.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $13.13 / $15.03 / $19.70	Professional	25	$13.13	$15.03	$19.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.59 / $45.70 / $57.75	Facility		$37.59	$45.70	$57.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $15.40 / $18.44	Professional		$13.72	$15.40	$18.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $16.64	Facility		$15.71	$15.71	$16.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $17.25 / $25.66	Professional		$11.74	$17.25	$25.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $19.91 / $39.97	Professional		$13.94	$19.91	$39.97
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 $13.99 / $14.70 / $19.18	Professional		$13.99	$14.70	$19.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $32.34 / $32.34	Professional		$19.14	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.13 / $17.05 / $28.63	Professional		$13.13	$17.05	$28.63