Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $56.85 / $195.25	Facility		$28.77	$56.85	$195.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $31.28 / $45.62	Professional		$20.46	$31.28	$45.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $90.61 / $440.42	Facility		$47.37	$90.61	$440.42
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 $44.48 / $76.48 / $160.82	Facility		$44.48	$76.48	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $42.46 / $58.97	Professional		$17.87	$42.46	$58.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $61.41 / $146.19	Professional		$38.60	$61.41	$146.19
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 $47.72 / $47.72 / $52.64	Professional		$47.72	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $36.88	Professional		$14.74	$21.05	$36.88