Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $85.67 / $138.93	Facility		$39.86	$85.67	$138.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $33.72 / $46.31	Professional		$28.86	$33.72	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.13 / $90.55 / $444.27	Facility		$53.13	$90.55	$444.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $31.95 / $35.65	Professional		$3.50	$31.95	$35.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $110.77 / $212.94	Facility		$37.42	$110.77	$212.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $53.28 / $70.73	Professional		$23.66	$53.28	$70.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $74.09 / $140.44	Professional		$47.24	$74.09	$140.44
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 $60.20 / $60.20 / $60.20	Professional		$60.20	$60.20	$60.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.02 / $25.47 / $34.04	Professional		$17.02	$25.47	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $26.19 / $48.67	Professional		$19.45	$26.19	$48.67