Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $38.02	Facility		$14.45	$14.45	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.88 / $30.20	Professional		$7.08	$12.88	$30.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.59 / $12.59 / $18.62	Professional	25	$12.59	$12.59	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $17.78 / $19.05	Professional		$6.31	$17.78	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $23.99	Professional		$18.62	$22.39	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $16.98 / $37.15	Professional		$9.33	$16.98	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $53.70	Professional		$19.50	$38.90	$53.70
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 $23.99 / $24.55 / $26.92	Professional		$23.99	$24.55	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $20.89	Professional		$8.51	$11.48	$20.89