Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.85 / $44.99 / $60.18	Facility		$44.85	$44.99	$60.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $34.89 / $74.52	Professional		$25.30	$34.89	$74.52
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $144.30 / $144.30	Professional	25	$41.32	$144.30	$144.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $39.90 / $48.23	Professional		$36.17	$39.90	$48.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.48 / $113.48 / $113.48	Facility		$113.48	$113.48	$113.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.82 / $40.40 / $49.96	Professional		$32.82	$40.40	$49.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $46.11 / $71.81	Professional		$31.88	$46.11	$71.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $54.47 / $100.46	Professional		$36.47	$54.47	$100.46
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 $35.86 / $37.18 / $52.46	Professional		$35.86	$37.18	$52.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.45 / $59.31	Professional		$32.34	$37.45	$59.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $53.74 / $80.17	Professional		$38.38	$53.74	$80.17