Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $34.95 / $162.25	Facility		$26.21	$34.95	$162.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $34.90 / $47.01	Professional		$26.58	$34.90	$47.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $31.79 / $51.97	Professional		$30.88	$31.79	$51.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $167.38 / $167.38	Facility		$167.38	$167.38	$167.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $40.46 / $61.87	Professional		$26.96	$40.46	$61.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.69 / $38.69 / $38.69	Facility		$38.69	$38.69	$38.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $39.00 / $53.15	Professional		$27.00	$39.00	$53.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $41.69 / $138.41	Professional		$27.75	$41.69	$138.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $51.07	Professional		$32.34	$32.34	$51.07
United Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $44.61 / $71.26	Professional		$32.83	$44.61	$71.26