Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $60.26 / $93.33	Facility		$41.69	$60.26	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $85.11	Professional		$32.36	$48.98	$85.11
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $79.43 / $144.54	Professional	25	$56.23	$79.43	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $70.79	Professional		$48.98	$58.88	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $58.88 / $64.57	Professional	25	$41.69	$58.88	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $169.82 / $776.25	Facility		$131.83	$169.82	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $63.10	Professional		$47.86	$54.95	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $97.72	Professional		$40.74	$67.61	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $114.82	Professional		$47.86	$70.79	$114.82
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 $60.26 / $61.66 / $83.18	Professional		$60.26	$61.66	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $354.81	Facility		$151.36	$245.47	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $47.86 / $72.44	Professional		$31.62	$47.86	$72.44