Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $22.76	Facility		$18.44	$18.44	$22.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $13.57 / $24.92	Professional		$10.36	$13.57	$24.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.15 / $21.15 / $21.15	Professional	25	$21.15	$21.15	$21.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $18.30 / $20.80	Professional		$14.27	$18.30	$20.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $44.00 / $44.00	Professional		$37.40	$44.00	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $20.80 / $28.81	Professional		$14.69	$20.80	$28.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.08 / $45.04	Professional		$15.00	$21.08	$45.04
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 $15.22 / $15.90 / $20.03	Professional		$15.22	$15.90	$20.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $32.34 / $32.34	Professional		$20.01	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $18.66 / $29.82	Professional		$13.95	$18.66	$29.82