Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $64.42 / $74.56	Facility		$44.99	$64.42	$74.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $44.67 / $66.11	Professional		$31.37	$44.67	$66.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.30 / $144.06 / $144.06	Professional	25	$79.30	$144.06	$144.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Professional		$48.42	$48.42	$48.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.27 / $355.98 / $828.13	Facility		$127.27	$355.98	$828.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $58.92 / $63.29	Professional		$47.42	$58.92	$63.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $65.50 / $96.84	Professional		$38.26	$65.50	$96.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $69.67 / $115.03	Professional		$47.14	$69.67	$115.03
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 $59.79 / $61.65 / $82.28	Professional		$59.79	$61.65	$82.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $60.49 / $86.07	Professional		$32.34	$60.49	$86.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $55.95 / $80.17	Professional		$37.60	$55.95	$80.17