Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $47.42 / $96.42	Facility		$26.09	$47.42	$96.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.17 / $37.69 / $63.00	Professional		$24.17	$37.69	$63.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.99 / $51.39 / $123.25	Professional	25	$31.99	$51.39	$123.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.85 / $15.84 / $21.74	Professional	52	$11.85	$15.84	$21.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $39.29 / $48.49	Professional		$35.59	$39.29	$48.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $35.18 / $36.54 / $70.61	Professional	25	$35.18	$36.54	$70.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.37 / $143.03 / $179.34	Facility		$108.37	$143.03	$179.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $46.80 / $73.89	Professional		$31.61	$46.80	$73.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $53.91	Professional		$34.82	$34.82	$53.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $42.84 / $123.84	Professional		$27.85	$42.84	$123.84
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 $31.84 / $33.92 / $52.53	Professional		$31.84	$33.92	$52.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $59.40	Professional		$32.34	$32.34	$59.40
United Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $45.96 / $80.40	Professional		$33.22	$45.96	$80.40