Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $44.49	Facility		$37.36	$37.36	$44.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $26.57 / $46.43	Professional		$20.50	$26.57	$46.43
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.87 / $56.87 / $56.87	Professional	25	$56.87	$56.87	$56.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $40.70 / $40.70	Professional		$27.77	$40.70	$40.70
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 $44.00 / $44.00 / $45.32	Professional		$44.00	$44.00	$45.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.74 / $40.70 / $56.96	Professional		$28.74	$40.70	$56.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $41.31 / $87.13	Professional		$29.93	$41.31	$87.13
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 $30.43 / $31.79 / $39.20	Professional		$30.43	$31.79	$39.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $44.32	Professional		$32.34	$32.34	$44.32
United Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $38.00 / $57.79	Professional		$27.94	$38.00	$57.79