Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.99 / $37.15	Professional		$16.60	$23.99	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $46.77	Professional		$37.15	$38.02	$46.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.90 / $4.90	Professional		$2.69	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $56.23	Facility		$24.55	$24.55	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $41.69	Professional		$20.42	$24.55	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.63 / $5.37	Professional		$2.95	$3.63	$5.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $16.60 / $46.77	Facility		$2.14	$16.60	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $40.74	Professional		$17.78	$27.54	$40.74