Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $187.86 / $422.10	Facility		$53.85	$187.86	$422.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $23.94 / $35.88	Professional		$7.96	$23.94	$35.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Professional		$26.06	$26.06	$26.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.31 / $165.89 / $663.71	Facility		$60.31	$165.89	$663.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $44.53 / $63.28	Professional		$42.30	$44.53	$63.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $91.40 / $148.97	Facility		$2.98	$91.40	$148.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $42.30 / $47.41	Professional		$15.55	$42.30	$47.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $13.90 / $109.65	Professional		$9.19	$13.90	$109.65
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 $11.61 / $11.73 / $12.82	Professional		$11.61	$11.73	$12.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.49 / $7.17 / $14.35	Professional		$3.49	$7.17	$14.35
United Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $19.69 / $36.49	Professional		$12.80	$19.69	$36.49