Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $89.10 / $310.30	Facility		$51.41	$89.10	$310.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $38.54 / $54.45	Professional		$35.13	$38.54	$54.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $64.26 / $64.26	Professional		$64.26	$64.26	$64.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.97 / $119.50 / $507.30	Facility		$59.97	$119.50	$507.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $29.56 / $32.99	Professional		$3.50	$29.56	$32.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $104.90 / $196.56	Facility		$54.42	$104.90	$196.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $52.10 / $84.61	Professional		$21.84	$52.10	$84.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $83.79 / $498.73	Professional		$47.34	$83.79	$498.73
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 $55.69 / $55.69 / $55.69	Professional		$55.69	$55.69	$55.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.49 / $58.26 / $64.26	Professional		$22.49	$58.26	$64.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.85 / $53.47	Professional		$17.98	$27.85	$53.47