Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $338.84 / $691.83	Facility		$38.90	$338.84	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $60.26 / $173.78	Professional		$22.91	$60.26	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $36.31	Professional		$28.18	$28.18	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $128.82 / $346.74	Facility		$75.86	$128.82	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $81.28	Professional		$26.30	$54.95	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $63.10 / $120.23	Professional		$25.70	$63.10	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $70.79 / $190.55	Professional		$27.54	$70.79	$190.55
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 $28.84 / $29.51 / $77.62	Professional		$28.84	$29.51	$77.62
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 $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $60.26 / $123.03	Professional		$23.99	$60.26	$123.03