Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $61.33 / $190.06	Facility		$35.96	$61.33	$190.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $28.77 / $49.71	Professional		$20.46	$28.77	$49.71
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 $48.07 / $187.26 / $464.20	Facility		$48.07	$187.26	$464.20
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 / $55.18 / $144.82	Professional		$38.60	$55.18	$144.82
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 / $36.84 / $51.58	Professional		$18.41	$36.84	$51.58
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.35 / $40.98	Professional		$14.74	$22.35	$40.98