Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $141.03 / $232.80	Facility		$45.26	$141.03	$232.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.65 / $49.71	Professional		$22.81	$31.65	$49.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $47.00	Professional		$19.00	$19.00	$47.00
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 / $56.14 / $144.94	Professional		$38.60	$56.14	$144.94
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 $18.41 / $47.72 / $52.64	Professional		$18.41	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $26.29 / $43.81	Professional		$14.74	$26.29	$43.81