Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $89.20 / $328.50	Facility		$43.89	$89.20	$328.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $37.77 / $47.81	Professional		$34.57	$37.77	$47.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $183.80 / $491.78	Facility		$82.23	$183.80	$491.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.99 / $36.81	Professional		$3.50	$32.99	$36.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.62 / $116.85 / $220.38	Facility		$46.62	$116.85	$220.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $58.23 / $72.79	Professional		$32.27	$58.23	$72.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $71.77 / $340.09	Professional		$48.77	$71.77	$340.09
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 $62.15 / $62.15 / $62.15	Professional		$62.15	$62.15	$62.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.56 / $26.30 / $59.76	Professional		$17.56	$26.30	$59.76
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.69 / $49.24	Professional		$20.07	$28.69	$49.24