Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $70.79	Facility		$22.91	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $41.69 / $114.82	Professional		$16.98	$41.69	$114.82
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $128.82 / $131.83	Professional	25	$63.10	$128.82	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $64.57	Professional		$38.02	$48.98	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $75.86	Facility		$44.67	$52.48	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $60.26	Professional		$20.42	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $48.98 / $100.00	Professional		$17.38	$48.98	$100.00
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 $21.88 / $22.39 / $58.88	Professional		$21.88	$22.39	$58.88
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 $25.12 / $69.18 / $100.00	Facility		$25.12	$69.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $64.57	Professional		$18.20	$36.31	$64.57