Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $77.27 / $135.93	Facility		$42.81	$77.27	$135.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $30.42 / $45.28	Professional		$21.23	$30.42	$45.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $180.54 / $552.50	Facility		$56.38	$180.54	$552.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $28.82 / $32.15	Professional		$3.50	$28.82	$32.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $99.91 / $192.09	Facility		$29.19	$99.91	$192.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $47.91 / $63.50	Professional		$17.64	$47.91	$63.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $58.90 / $331.94	Professional		$39.54	$58.90	$331.94
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 $54.30 / $54.30 / $54.30	Professional		$54.30	$54.30	$54.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $28.65 / $52.21	Professional		$3.69	$28.65	$52.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $21.21 / $43.02	Professional		$8.30	$21.21	$43.02