Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $96.90 / $127.06	Facility		$46.76	$96.90	$127.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $46.70 / $69.02	Professional		$27.14	$46.70	$69.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $32.58 / $32.58	Professional		$32.58	$32.58	$32.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $107.54 / $521.02	Facility		$61.94	$107.54	$521.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $39.72 / $41.81	Professional		$3.50	$39.72	$41.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.15 / $129.90 / $250.16	Facility		$54.15	$129.90	$250.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $59.73 / $77.95	Professional		$27.80	$59.73	$77.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.02 / $95.03 / $281.83	Professional		$57.02	$95.03	$281.83
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 $70.59 / $70.59 / $70.59	Professional		$70.59	$70.59	$70.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $37.25 / $67.88	Professional		$27.15	$37.25	$67.88
United Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $57.02 / $134.12	Facility		$54.30	$57.02	$134.12
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $54.30	Professional		$22.81	$32.58	$54.30