Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.12 / $57.86 / $101.58	Facility		$29.12	$57.86	$101.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $30.48 / $57.60	Professional		$27.77	$30.48	$57.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.60 / $109.77 / $355.85	Facility		$49.60	$109.77	$355.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.77 / $26.07	Professional		$3.50	$24.77	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.38 / $82.73 / $156.35	Facility		$35.38	$82.73	$156.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $41.30 / $51.63	Professional		$22.12	$41.30	$51.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $59.26 / $158.91	Professional		$34.54	$59.26	$158.91
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 $44.02 / $44.02 / $44.02	Professional		$44.02	$44.02	$44.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $23.23 / $42.33	Professional		$12.44	$23.23	$42.33
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $22.01 / $34.88	Professional		$14.22	$22.01	$34.88