Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $75.44 / $158.68	Facility		$41.60	$75.44	$158.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.65 / $76.95	Professional		$22.81	$31.65	$76.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $19.00 / $47.37	Professional		$17.55	$19.00	$47.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.07 / $100.04 / $552.66	Facility		$48.07	$100.04	$552.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $27.02 / $35.09	Professional		$3.50	$27.02	$35.09
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 $21.96 / $42.46 / $75.18	Professional		$21.96	$42.46	$75.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $66.84 / $140.76	Professional		$38.77	$66.84	$140.76
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 Facility Modifier Low / Median / High Price $58.85 / $58.85 / $58.85	Facility		$58.85	$58.85	$58.85
United Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.75 / $50.27	Professional		$21.05	$30.75	$50.27