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 $18.45 / $30.37 / $47.35	Professional		$18.45	$30.37	$47.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $37.86 / $40.56	Professional		$32.63	$37.86	$40.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.30 / $312.95 / $626.70	Facility		$146.30	$312.95	$626.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.56 / $40.56 / $41.10	Professional		$40.56	$40.56	$41.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $59.49	Facility		$35.60	$35.60	$59.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.59 / $62.63	Professional		$25.99	$35.59	$62.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $73.38 / $114.83	Professional		$54.08	$73.38	$114.83
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 $30.52 / $67.59 / $81.12	Professional		$30.52	$67.59	$81.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $26.98 / $47.77	Professional		$20.23	$26.98	$47.77