Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $70.18 / $483.20	Facility		$32.21	$70.18	$483.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $26.76 / $48.18	Professional		$25.09	$26.76	$48.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $21.05 / $52.64	Professional		$9.47	$21.05	$52.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $187.26 / $464.20	Facility		$48.07	$187.26	$464.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.21 / $27.02	Professional		$3.50	$24.21	$27.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $86.67 / $160.82	Facility		$38.68	$86.67	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $42.46 / $65.87	Professional		$17.05	$42.46	$65.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $57.81 / $153.79	Professional		$38.60	$57.81	$153.79
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 $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.07 / $51.58	Professional		$17.55	$24.07	$51.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $35.09	Professional		$14.74	$21.05	$35.09