Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $68.38 / $102.57	Facility		$29.44	$68.38	$102.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.82 / $28.60 / $56.22	Professional		$26.82	$28.60	$56.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $99.53 / $351.76	Facility		$47.86	$99.53	$351.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $23.59 / $26.33	Professional		$3.50	$23.59	$26.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $81.77 / $157.84	Facility		$33.33	$81.77	$157.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $41.71 / $52.14	Professional		$22.71	$41.71	$52.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $56.50 / $130.33	Professional		$34.86	$56.50	$130.33
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 $44.45 / $44.45 / $44.45	Professional		$44.45	$44.45	$44.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $18.80 / $42.74	Professional		$12.55	$18.80	$42.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $24.24 / $35.22	Professional		$14.36	$24.24	$35.22