Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $37.25 / $66.30	Professional		$20.32	$37.25	$66.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $47.44 / $47.44	Professional		$47.44	$47.44	$47.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $176.12 / $641.62	Facility		$80.00	$176.12	$641.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Professional		$49.75	$49.75	$49.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $72.95	Facility		$39.86	$39.86	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $76.88	Professional		$33.88	$39.86	$76.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.33 / $113.88 / $246.12	Professional		$66.33	$113.88	$246.12
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 $86.23 / $86.23 / $86.23	Professional		$86.23	$86.23	$86.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.12 / $82.91 / $99.50	Professional		$38.12	$82.91	$99.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $33.10 / $56.81	Professional		$22.06	$33.10	$56.81