Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $80.16 / $263.52	Facility		$39.47	$80.16	$263.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.38 / $40.60	Professional		$22.81	$30.38	$40.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.55 / $29.83	Professional		$15.79	$17.55	$29.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $110.37 / $415.64	Facility		$49.94	$110.37	$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 $38.77 / $65.75 / $227.61	Professional		$38.77	$65.75	$227.61
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 $15.04 / $47.72 / $52.64	Professional		$15.04	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.27 / $40.98	Professional		$14.74	$26.27	$40.98