Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $15.66	Facility		$14.52	$14.52	$15.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $14.29 / $26.15	Professional		$7.98	$14.29	$26.15
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	25	$18.64	$18.64	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $21.67 / $21.67	Professional		$18.95	$21.67	$21.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $19.96 / $19.96 / $19.96	Professional	25	$19.96	$19.96	$19.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $59.13 / $59.13	Facility		$59.13	$59.13	$59.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $22.60 / $23.85	Professional		$18.44	$22.60	$23.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $23.12 / $23.12	Facility		$23.12	$23.12	$23.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $20.47 / $34.83	Professional		$9.89	$20.47	$34.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $29.50 / $50.32	Professional		$20.56	$29.50	$50.32
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 $23.97 / $24.69 / $27.09	Professional		$23.97	$24.69	$27.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $32.34 / $32.34	Professional		$25.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $8.73 / $12.07 / $19.93	Professional		$8.73	$12.07	$19.93