Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $57.70 / $149.80	Facility		$25.25	$57.70	$149.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $40.64 / $70.47	Professional		$17.48	$40.64	$70.47
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.31 / $128.00 / $128.00	Professional	25	$63.31	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $48.15 / $61.10	Professional		$40.31	$48.15	$61.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.02 / $48.00 / $112.79	Facility		$35.02	$48.00	$112.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $42.23 / $63.89	Professional		$20.32	$42.23	$63.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $39.88 / $53.66	Professional		$36.03	$39.88	$53.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $44.79 / $99.82	Professional		$18.32	$44.79	$99.82
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 / $22.48 / $58.23	Professional		$21.88	$22.48	$58.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $65.84	Professional		$32.34	$32.34	$65.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $54.58 / $82.34	Professional		$40.27	$54.58	$82.34