Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $148.81 / $289.60	Facility		$51.00	$148.81	$289.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $31.83 / $80.16	Professional		$30.56	$31.83	$80.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $47.00 / $50.31	Professional		$47.00	$47.00	$50.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.05 / $160.51 / $493.06	Facility		$51.05	$160.51	$493.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $25.72 / $28.70	Professional		$3.50	$25.72	$28.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.36 / $87.06 / $171.24	Facility		$47.36	$87.06	$171.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $45.53 / $69.95	Professional		$19.03	$45.53	$69.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $74.20 / $192.57	Professional		$41.00	$74.20	$192.57
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 $48.45 / $48.45 / $48.45	Professional		$48.45	$48.45	$48.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.56 / $48.11 / $55.91	Professional		$19.56	$48.11	$55.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $23.74 / $37.27	Professional		$15.65	$23.74	$37.27