Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.67 / $133.52 / $535.62	Facility		$43.67	$133.52	$535.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $30.94 / $56.05	Professional		$25.19	$30.94	$56.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.35 / $106.84 / $330.38	Facility		$57.35	$106.84	$330.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $36.39 / $64.02	Professional		$9.82	$36.39	$64.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.84 / $69.50 / $211.58	Facility		$32.84	$69.50	$211.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $39.97 / $59.22	Professional		$25.25	$39.97	$59.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $51.28 / $126.88	Professional		$34.84	$51.28	$126.88
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 $37.04 / $37.60 / $41.17	Professional		$37.04	$37.60	$41.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $32.34 / $43.07	Professional		$10.68	$32.34	$43.07
United Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $128.26 / $180.02	Facility		$128.26	$128.26	$180.02
United Facility/Professional Professional Modifier Low / Median / High Price $27.62 / $36.82 / $56.88	Professional		$27.62	$36.82	$56.88