Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $39.53 / $57.52	Facility		$35.40	$39.53	$57.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $33.72 / $60.39	Professional		$20.73	$33.72	$60.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $35.00 / $46.52	Professional		$34.89	$35.00	$46.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $92.33 / $103.95	Facility		$73.79	$92.33	$103.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $39.68 / $49.49	Professional		$26.51	$39.68	$49.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $44.45	Facility		$31.39	$31.39	$44.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $40.43 / $63.70	Professional		$25.07	$40.43	$63.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $50.05 / $95.09	Professional		$28.66	$50.05	$95.09
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 $28.25 / $29.21 / $50.40	Professional		$28.25	$29.21	$50.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $56.99	Professional		$30.00	$30.00	$56.99
United Facility/Professional Professional Modifier Low / Median / High Price $35.77 / $46.28 / $74.69	Professional		$35.77	$46.28	$74.69