Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.63 / $18.98 / $40.86	Facility		$8.63	$18.98	$40.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $15.17 / $25.53	Professional		$7.80	$15.17	$25.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.26 / $22.26 / $22.26	Professional	25	$22.26	$22.26	$22.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.89 / $5.70 / $9.49	Professional	52	$3.89	$5.70	$9.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $16.12 / $23.00	Professional		$15.83	$16.12	$23.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.99 / $44.68 / $58.38	Facility		$35.99	$44.68	$58.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $16.73 / $24.40	Professional		$10.16	$16.73	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $21.07	Professional		$15.77	$15.77	$21.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $18.66 / $43.47	Professional		$9.16	$18.66	$43.47
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 $10.93 / $11.22 / $23.10	Professional		$10.93	$11.22	$23.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $32.34 / $32.34	Professional		$22.82	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.35 / $22.19 / $36.28	Professional		$16.35	$22.19	$36.28