Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.58 / $35.79 / $63.71	Professional		$23.58	$35.79	$63.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $41.44 / $41.44	Professional		$41.44	$41.44	$41.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $161.03 / $558.67	Facility		$76.31	$161.03	$558.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $47.81 / $47.81	Professional		$31.75	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $67.23	Facility		$34.71	$38.29	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $34.71 / $73.88	Professional		$32.54	$34.71	$73.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $70.13 / $89.25	Professional		$57.38	$70.13	$89.25
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 $82.88 / $82.88 / $82.88	Professional		$82.88	$82.88	$82.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $86.70 / $95.63	Professional		$28.97	$86.70	$95.63
United Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $31.80 / $56.31	Professional		$22.53	$31.80	$56.31