Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.76 / $31.76 / $31.76	Facility		$31.76	$31.76	$31.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $31.76 / $56.52	Professional		$24.61	$31.76	$56.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Professional		$36.76	$36.76	$36.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $153.00 / $495.72	Facility		$87.45	$153.00	$495.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $42.42 / $42.42	Professional		$33.14	$42.42	$42.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $62.22	Facility		$33.97	$33.97	$62.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $33.97 / $65.63	Professional		$28.88	$33.97	$65.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $94.60 / $123.70	Professional		$56.56	$94.60	$123.70
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 $73.53 / $73.53 / $73.53	Professional		$73.53	$73.53	$73.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $70.70 / $84.84	Professional		$27.52	$70.70	$84.84
United Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $28.22 / $49.55	Professional		$19.87	$28.22	$49.55