Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $56.57	Professional		$56.57	$56.57	$56.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $89.62	Professional		$60.00	$60.00	$89.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $129.19 / $129.19	Facility		$129.19	$129.19	$129.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $76.00 / $76.00	Professional		$76.00	$76.00	$76.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.14 / $77.77 / $322.92	Professional		$47.14	$77.77	$322.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.79 / $86.52 / $195.89	Professional		$53.79	$86.52	$195.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $37.40 / $2,500.00	Professional		$36.39	$37.40	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $71.28 / $119.73	Professional		$57.85	$71.28	$119.73