Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $30.37 / $30.37	Facility		$30.37	$30.37	$30.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $30.37 / $54.04	Professional		$16.80	$30.37	$54.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $40.56	Professional		$40.56	$40.56	$40.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.19 / $136.61 / $473.96	Facility		$65.19	$136.61	$473.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $40.56 / $40.56	Professional		$29.57	$40.56	$40.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $59.49	Facility		$36.21	$36.21	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $36.21 / $62.63	Professional		$26.43	$36.21	$62.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $62.19 / $98.85	Professional		$51.38	$62.19	$98.85
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 $70.30 / $70.30 / $70.30	Professional		$70.30	$70.30	$70.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $45.36 / $79.50	Professional		$31.75	$45.36	$79.50
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $26.98 / $46.31	Professional		$20.59	$26.98	$46.31