Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $51.89 / $80.86	Facility		$26.67	$51.89	$80.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $27.00 / $39.36	Professional		$16.42	$27.00	$39.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.44 / $165.31 / $409.74	Facility		$42.44	$165.31	$409.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $21.38 / $23.85	Professional		$3.50	$21.38	$23.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.90 / $142.94	Facility		$32.36	$75.90	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $37.58 / $47.22	Professional		$20.23	$37.58	$47.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $54.22 / $184.34	Professional		$30.98	$54.22	$184.34
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 $40.27 / $40.27 / $40.27	Professional		$40.27	$40.27	$40.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $17.04 / $38.72	Professional		$5.27	$17.04	$38.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $18.59 / $36.19	Professional		$4.51	$18.59	$36.19