Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.25 / $71.30 / $149.81	Facility		$42.25	$71.30	$149.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.18 / $49.71	Professional		$22.81	$30.18	$49.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $47.00	Professional		$17.55	$17.55	$47.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $100.04 / $415.64	Facility		$49.12	$100.04	$415.64
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 $44.45 / $86.14 / $160.82	Facility		$44.45	$86.14	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.46 / $73.25	Professional		$17.87	$42.46	$73.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $60.77 / $98.41	Professional		$38.60	$60.77	$98.41
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 $18.41 / $47.72 / $52.64	Professional		$18.41	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.53 / $43.81	Professional		$14.74	$26.53	$43.81