Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $82.39 / $116.79	Facility		$43.74	$82.39	$116.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $41.71 / $54.26	Professional		$25.42	$41.71	$54.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $67.13 / $487.96	Facility		$24.15	$67.13	$487.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $35.09 / $39.15	Professional		$3.50	$35.09	$39.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $121.66 / $233.78	Facility		$37.42	$121.66	$233.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.95 / $58.23 / $77.44	Professional		$23.95	$58.23	$77.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $76.29 / $144.86	Professional		$50.86	$76.29	$144.86
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 $66.12 / $66.12 / $66.12	Professional		$66.12	$66.12	$66.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $27.97 / $63.58	Professional		$11.92	$27.97	$63.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $22.09 / $53.45	Professional		$10.50	$22.09	$53.45