Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $33.88	Facility		$22.91	$25.70	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $50.12	Professional		$18.20	$24.55	$50.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	25	$26.30	$26.30	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $38.02	Professional		$25.12	$30.20	$38.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $131.83	Facility		$95.50	$95.50	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $38.90	Professional		$33.11	$36.31	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $44.67	Professional		$28.84	$28.84	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $81.28	Professional		$25.70	$33.11	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $354.81	Facility		$151.36	$275.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $47.86	Professional		$22.39	$30.90	$47.86