Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.86 / $129.76 / $178.22	Facility		$55.86	$129.76	$178.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $55.80 / $134.63	Professional		$51.90	$55.80	$134.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $131.72 / $681.95	Facility		$76.80	$131.72	$681.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $49.96 / $49.96	Professional		$3.50	$49.96	$49.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.79 / $158.63 / $299.30	Facility		$67.79	$158.63	$299.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.38 / $78.88 / $99.25	Professional		$42.38	$78.88	$99.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $92.46 / $171.11	Professional		$64.88	$92.46	$171.11
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 $84.34 / $84.34 / $84.34	Professional		$84.34	$84.34	$84.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $35.68 / $47.69	Professional		$5.67	$35.68	$47.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.25 / $38.93 / $75.77	Professional		$27.25	$38.93	$75.77