Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.17 / $100.80 / $307.98	Facility		$43.17	$100.80	$307.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $33.58 / $45.10	Professional		$30.12	$33.58	$45.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $23.17 / $57.93	Professional		$19.30	$23.17	$57.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.99 / $123.49 / $405.95	Facility		$55.99	$123.49	$405.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $26.65 / $29.74	Professional		$3.50	$26.65	$29.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $94.66 / $177.20	Facility		$40.36	$94.66	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $47.08 / $59.23	Professional		$25.23	$47.08	$59.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $67.59 / $243.17	Professional		$40.54	$67.59	$243.17
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 $50.21 / $50.21 / $50.21	Professional		$50.21	$50.21	$50.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $26.49 / $48.28	Professional		$19.30	$26.49	$48.28
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $24.60 / $38.61	Professional		$16.22	$24.60	$38.61