Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $22.55	Facility		$19.80	$19.80	$22.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.79 / $28.78	Professional		$17.98	$21.79	$28.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $28.63	Professional		$25.06	$25.06	$28.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.92 / $97.92 / $97.92	Facility		$97.92	$97.92	$97.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $33.02 / $38.52	Professional		$21.30	$33.02	$38.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $24.82 / $44.78	Professional		$17.00	$24.82	$44.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $27.38 / $85.23	Professional		$18.98	$27.38	$85.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $35.07	Professional		$32.34	$32.34	$35.07
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $24.61 / $43.20	Professional		$19.16	$24.61	$43.20