Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $30.20 / $162.18	Facility		$7.24	$30.20	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $61.66	Professional		$26.92	$36.31	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $41.69	Professional		$26.30	$32.36	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $575.44	Facility		$165.96	$165.96	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $57.54	Professional		$26.92	$40.74	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $50.12	Professional		$26.92	$38.90	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $46.77 / $173.78	Professional		$27.54	$46.77	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,202.26 / $1,548.82	Facility		$660.69	$1,202.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $70.79	Professional		$33.11	$43.65	$70.79