Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.21 / $66.00 / $171.90	Facility		$32.21	$66.00	$171.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $28.77 / $42.50	Professional		$22.02	$28.77	$42.50
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 $36.11 / $60.95 / $415.64	Facility		$36.11	$60.95	$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 / $66.84 / $180.21	Professional		$38.60	$66.84	$180.21
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 $15.07 / $47.72 / $52.64	Professional		$15.07	$47.72	$52.64
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $70.18 / $70.18	Facility		$20.22	$70.18	$70.18
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.35 / $40.98	Professional		$14.74	$22.35	$40.98