Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.39 / $58.88	Facility		$12.02	$22.39	$58.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	25	$48.98	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $38.02	Professional		$10.96	$18.20	$38.02
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.20 / $26.92 / $54.95	Professional	25	$18.20	$26.92	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $20.42	Professional		$10.96	$14.45	$20.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $11.22 / $14.45 / $21.88	Professional	25	$11.22	$14.45	$21.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $75.86	Facility		$45.71	$66.07	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.14 / $18.62	Professional		$13.80	$15.14	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $22.39 / $25.12	Facility		$16.60	$22.39	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $27.54	Professional		$11.75	$16.98	$27.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.88 / $47.86	Professional		$13.18	$21.88	$47.86
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 $14.13 / $14.79 / $19.05	Professional		$14.13	$14.79	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $33.11	Professional		$22.91	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $100.00 / $128.82	Facility		$11.22	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.49 / $22.91	Professional		$11.48	$15.49	$22.91