Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $40.54 / $43.38	Facility		$39.65	$40.54	$43.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $25.10 / $44.22	Professional		$21.58	$25.10	$44.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $18.55 / $35.11	Professional		$16.45	$18.55	$35.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $68.56 / $130.68	Facility		$30.91	$68.56	$130.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $44.00 / $44.00	Professional		$37.40	$44.00	$44.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.81 / $37.28 / $37.28	Facility		$32.81	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $33.58 / $52.78	Professional		$23.01	$33.58	$52.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $36.52 / $95.95	Professional		$25.92	$36.52	$95.95
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 $27.74 / $28.33 / $32.33	Professional		$27.74	$28.33	$32.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $36.56	Professional		$32.34	$32.34	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.68 / $56.34	Professional		$23.99	$31.68	$56.34