Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $61.71 / $100.67	Facility		$31.63	$61.71	$100.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $25.36 / $33.21	Professional		$20.05	$25.36	$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 $4.50 / $29.70 / $38.57	Professional		$4.50	$29.70	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $96.00 / $177.20	Facility		$26.95	$96.00	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $44.42 / $58.85	Professional		$31.50	$44.42	$58.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $63.23 / $341.73	Professional		$40.50	$63.23	$341.73
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 Facility Modifier Low / Median / High Price $38.57 / $40.50 / $95.27	Facility		$38.57	$40.50	$95.27
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $38.57	Professional		$16.20	$23.14	$38.57