Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.69 / $159.81 / $508.00	Facility		$55.69	$159.81	$508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $36.79 / $80.95	Professional		$32.20	$36.79	$80.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $28.66 / $55.73	Professional		$20.64	$28.66	$55.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $173.57 / $427.24	Facility		$69.89	$173.57	$427.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.48 / $31.79	Professional		$3.50	$28.48	$31.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.13 / $100.63 / $190.60	Facility		$43.13	$100.63	$190.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $47.97 / $63.23	Professional		$26.96	$47.97	$63.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $74.91 / $273.30	Professional		$43.34	$74.91	$273.30
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 $53.66 / $53.66 / $53.66	Professional		$53.66	$53.66	$53.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $28.32 / $51.60	Professional		$20.64	$28.32	$51.60
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $26.83 / $48.20	Professional		$17.34	$26.83	$48.20