Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $54.70 / $89.24	Facility		$28.04	$54.70	$89.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $28.04 / $34.19	Professional		$23.05	$28.04	$34.19
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 $49.57 / $90.28 / $359.40	Facility		$49.57	$90.28	$359.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.01 / $26.33	Professional		$3.50	$25.01	$26.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $84.61 / $157.84	Facility		$38.25	$84.61	$157.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $39.24 / $52.14	Professional		$28.06	$39.24	$52.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $54.70 / $120.00	Professional		$35.90	$54.70	$120.00
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 $17.10 / $23.45 / $42.74	Professional		$17.10	$23.45	$42.74
United Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $42.07 / $42.07	Facility		$42.07	$42.07	$42.07
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $35.06	Professional		$14.36	$20.51	$35.06