Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $40.35 / $50.74	Facility		$37.72	$40.35	$50.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $25.53 / $41.41	Professional		$20.57	$25.53	$41.41
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $25.11 / $49.61 / $67.92	Professional	25	$25.11	$49.61	$67.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $28.07 / $34.45	Professional		$25.01	$28.07	$34.45
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $26.08 / $33.79 / $35.42	Professional	25	$26.08	$33.79	$35.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $49.99 / $98.84	Facility		$40.92	$49.99	$98.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $33.71 / $37.20	Professional		$28.32	$33.71	$37.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $33.15 / $33.15	Facility		$32.81	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.55 / $35.20 / $50.13	Professional		$23.55	$35.20	$50.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $38.79 / $82.02	Professional		$28.20	$38.79	$82.02
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 $29.63 / $31.02 / $36.61	Professional		$29.63	$31.02	$36.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.24	Professional		$32.34	$32.34	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $33.10 / $55.18	Professional		$25.42	$33.10	$55.18