Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $61.47 / $64.31	Facility		$59.41	$61.47	$64.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.45 / $35.74 / $61.47	Professional		$30.45	$35.74	$61.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $38.97 / $48.59	Professional		$38.97	$38.97	$48.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $99.53 / $130.68	Facility		$43.06	$99.53	$130.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $44.00 / $45.32	Professional		$37.40	$44.00	$45.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $52.43 / $52.43	Facility		$48.57	$52.43	$52.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $46.50 / $78.13	Professional		$33.58	$46.50	$78.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $49.77 / $132.16	Professional		$35.78	$49.77	$132.16
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 $39.07 / $39.60 / $44.21	Professional		$39.07	$39.60	$44.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $49.99	Professional		$32.34	$32.34	$49.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $47.23 / $82.38	Professional		$35.03	$47.23	$82.38