Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.21 / $62.36 / $100.67	Facility		$33.21	$62.36	$100.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $29.70 / $33.21	Professional		$20.44	$29.70	$33.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $162.16 / $562.22	Facility		$50.91	$162.16	$562.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $26.61 / $29.70	Professional		$3.50	$26.61	$29.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.40 / $92.26 / $177.20	Facility		$43.40	$92.26	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.27 / $44.63 / $58.85	Professional		$32.27	$44.63	$58.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $67.50 / $412.13	Professional		$40.50	$67.50	$412.13
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 $50.14 / $50.14 / $50.14	Professional		$50.14	$50.14	$50.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $26.46 / $48.21	Professional		$19.29	$26.46	$48.21
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $38.57	Professional		$16.20	$23.14	$38.57