Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $27.75 / $49.92	Facility		$20.81	$27.75	$49.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $35.29 / $185.85	Professional		$21.83	$35.29	$185.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $34.09 / $51.10	Professional		$28.57	$34.09	$51.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.02 / $115.02 / $115.02	Facility		$115.02	$115.02	$115.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $37.97 / $39.67	Professional		$33.40	$37.97	$39.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $42.41 / $60.64	Professional		$30.19	$42.41	$60.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $43.87 / $102.52	Professional		$32.43	$43.87	$102.52
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 $35.86 / $37.18 / $40.83	Professional		$35.86	$37.18	$40.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $46.17	Professional		$30.00	$30.00	$46.17
United Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $41.04 / $65.40	Professional		$31.18	$41.04	$65.40