Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $101.76 / $390.26	Facility		$39.22	$101.76	$390.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.37 / $53.68 / $147.38	Professional		$27.37	$53.68	$147.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $52.64 / $52.64	Professional		$52.64	$52.64	$52.64
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 / $69.56	Professional		$17.87	$42.46	$69.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $56.14 / $100.00	Professional		$38.60	$56.14	$100.00
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 $36.84 / $47.72 / $52.64	Professional		$36.84	$47.72	$52.64
United Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $22.35 / $40.98	Professional		$14.74	$22.35	$40.98