Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $29.48 / $30.66	Facility		$29.48	$29.48	$30.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $32.50 / $94.23	Professional		$26.93	$32.50	$94.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.51 / $50.51 / $50.51	Professional	25	$50.51	$50.51	$50.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.29 / $45.99	Professional		$28.00	$39.29	$45.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.99 / $129.99 / $129.99	Facility		$129.99	$129.99	$129.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $31.41 / $35.22	Professional		$29.48	$31.41	$35.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $42.86	Professional		$28.57	$28.57	$42.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $38.02 / $98.79	Professional		$27.83	$38.02	$98.79
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 $37.08 / $38.32 / $42.56	Professional		$37.08	$38.32	$42.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $48.13	Professional		$32.34	$32.34	$48.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.67 / $42.01 / $66.73	Professional		$31.67	$42.01	$66.73