Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $91.20	Facility		$48.98	$48.98	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $53.70 / $97.72	Professional		$28.84	$53.70	$97.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $66.07 / $91.20	Professional		$41.69	$66.07	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $199.53 / $776.25	Facility		$104.71	$199.53	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $66.07	Professional		$57.54	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $100.00	Facility		$58.88	$58.88	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $97.72	Professional		$43.65	$43.65	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $95.50 / $169.82	Professional		$87.10	$95.50	$169.82
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 $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $91.20	Facility		$45.71	$70.79	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $69.18	Professional		$33.11	$44.67	$69.18