Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $111.81 / $455.84	Facility		$44.98	$111.81	$455.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $38.54 / $54.45	Professional		$33.42	$38.54	$54.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $57.83 / $57.83	Professional		$57.83	$57.83	$57.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $125.00 / $467.43	Facility		$62.00	$125.00	$467.43
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 / $89.41	Professional		$21.84	$52.10	$89.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $83.79 / $422.73	Professional		$47.34	$83.79	$422.73
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 / $27.29 / $59.85	Professional		$17.98	$27.29	$59.85