Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $104.78 / $281.68	Facility		$44.46	$104.78	$281.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $33.47 / $38.50	Professional		$29.65	$33.47	$38.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $23.10 / $46.20	Professional		$23.10	$23.10	$46.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $123.49 / $404.72	Facility		$55.82	$123.49	$404.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $26.57 / $29.65	Professional		$3.50	$26.57	$29.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $93.80 / $177.20	Facility		$40.22	$93.80	$177.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $47.08 / $58.85	Professional		$25.15	$47.08	$58.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $67.38 / $345.40	Professional		$40.43	$67.38	$345.40
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 $50.05 / $50.05 / $50.05	Professional		$50.05	$50.05	$50.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $21.18 / $48.13	Professional		$14.15	$21.18	$48.13
United Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $26.18 / $50.40	Professional		$16.17	$26.18	$50.40