Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $103.36 / $292.38	Facility		$38.52	$103.36	$292.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $42.28 / $61.82	Professional		$36.17	$42.28	$61.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $63.42 / $70.47	Professional		$28.19	$63.42	$70.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $198.93 / $486.45	Facility		$78.98	$198.93	$486.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $32.42 / $36.17	Professional		$3.50	$32.42	$36.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $115.13 / $215.92	Facility		$49.10	$115.13	$215.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $57.41 / $72.03	Professional		$30.69	$57.41	$72.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $82.22 / $268.57	Professional		$46.98	$82.22	$268.57
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 $61.07 / $61.07 / $61.07	Professional		$61.07	$61.07	$61.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $25.84 / $58.73	Professional		$10.18	$25.84	$58.73
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $31.50 / $48.39	Professional		$19.73	$31.50	$48.39