Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.92 / $51.29	Facility		$21.88	$26.92	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $43.65	Professional		$22.91	$30.20	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $30.20 / $33.88	Professional		$8.13	$30.20	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $45.71	Professional		$25.12	$36.31	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $44.67 / $66.07	Professional		$28.84	$44.67	$66.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $112.20	Professional		$28.18	$40.74	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $100.00	Professional		$30.20	$30.20	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $57.54	Professional		$28.84	$37.15	$57.54