Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $61.41 / $91.58	Facility		$28.77	$61.41	$91.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.65 / $49.71	Professional		$18.60	$31.65	$49.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
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 / $66.83	Professional		$17.87	$42.46	$66.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $53.97 / $123.28	Professional		$38.60	$53.97	$123.28
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 $15.44 / $47.72 / $52.64	Professional		$15.44	$47.72	$52.64
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $70.18 / $70.18	Facility		$20.22	$70.18	$70.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.35 / $40.98	Professional		$14.74	$22.35	$40.98