Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.53 / $67.94 / $185.68	Facility		$40.53	$67.94	$185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.87 / $27.75 / $29.13	Professional		$24.87	$27.75	$29.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.30 / $82.32 / $339.47	Facility		$45.30	$82.32	$339.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.63 / $24.87	Professional		$3.50	$23.63	$24.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $79.30 / $148.91	Facility		$33.75	$79.30	$148.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $39.24 / $49.22	Professional		$21.10	$39.24	$49.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $56.53 / $239.97	Professional		$33.92	$56.53	$239.97
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 $41.99 / $41.99 / $41.99	Professional		$41.99	$41.99	$41.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $18.58 / $40.38	Professional		$11.87	$18.58	$40.38
United Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $19.38 / $33.60	Professional		$13.57	$19.38	$33.60