Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.10 / $31.22	Facility		$23.44	$26.10	$31.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $23.52 / $33.92	Professional		$18.75	$23.52	$33.92
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.10 / $26.10 / $26.10	Professional	25	$26.10	$26.10	$26.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $25.56 / $28.12	Professional		$25.56	$25.56	$28.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.30 / $95.30 / $95.30	Facility		$95.30	$95.30	$95.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $35.94 / $38.61	Professional		$33.09	$35.94	$38.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $40.26 / $40.26	Facility		$40.26	$40.26	$40.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $47.55	Professional		$29.16	$29.16	$47.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $31.22 / $73.80	Professional		$25.81	$31.22	$73.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $32.25 / $56.13	Professional		$22.55	$32.25	$56.13