Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $40.22 / $80.11	Facility		$29.38	$40.22	$80.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $35.84 / $68.56	Professional		$25.09	$35.84	$68.56
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $146.90 / $146.90 / $146.90	Professional	25	$146.90	$146.90	$146.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.65 / $36.65	Professional		$36.65	$36.65	$36.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $351.50 / $680.87	Facility		$131.47	$351.50	$680.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $44.49 / $47.91	Professional		$32.69	$44.49	$47.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $49.49 / $74.75	Professional		$31.55	$49.49	$74.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $51.48 / $97.09	Professional		$33.10	$51.48	$97.09
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 $41.26 / $42.50 / $62.28	Professional		$41.26	$42.50	$62.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.93 / $65.16	Professional		$32.34	$45.93	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $35.61 / $50.58 / $72.80	Professional		$35.61	$50.58	$72.80