Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $53.70	Facility		$37.15	$46.77	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $97.72	Professional		$20.89	$30.20	$97.72
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $27.54 / $56.23 / $138.04	Professional	25	$27.54	$56.23	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $40.74	Professional		$25.12	$29.51	$40.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $43.65	Professional		$37.15	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $64.57	Professional		$28.18	$39.81	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $45.71 / $93.33	Professional		$27.54	$45.71	$93.33
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 $30.20 / $31.62 / $38.90	Professional		$30.20	$31.62	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Facility		$24.55	$24.55	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $33.88 / $51.29	Professional		$24.55	$33.88	$51.29