Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.13 / $83.51 / $229.60	Facility		$41.13	$83.51	$229.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $31.88 / $46.48	Professional		$29.26	$31.88	$46.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $18.29 / $21.94	Professional		$18.29	$18.29	$21.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $118.00 / $384.38	Facility		$53.32	$118.00	$384.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.23 / $28.16	Professional		$3.50	$25.23	$28.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $89.54 / $168.27	Facility		$38.21	$89.54	$168.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $42.55 / $56.03	Professional		$23.89	$42.55	$56.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $70.73 / $203.26	Professional		$38.40	$70.73	$203.26
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 $47.54 / $47.54 / $47.54	Professional		$47.54	$47.54	$47.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $25.09 / $45.71	Professional		$13.44	$25.09	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $27.43 / $42.00	Professional		$15.36	$27.43	$42.00