Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $883.86	Facility		$36.90	$36.90	$883.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $36.90 / $65.69	Professional		$20.14	$36.90	$65.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $59.16 / $59.16	Professional		$59.16	$59.16	$59.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $174.50 / $635.74	Facility		$78.40	$174.50	$635.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.30 / $49.30 / $49.30	Professional		$49.30	$49.30	$49.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $72.30	Facility		$39.47	$39.47	$72.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $39.47 / $76.13	Professional		$33.56	$39.47	$76.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $105.48 / $200.00	Professional		$59.28	$105.48	$200.00
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 $85.45 / $85.45 / $85.45	Professional		$85.45	$85.45	$85.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.12 / $82.16 / $98.60	Professional		$38.12	$82.16	$98.60
United Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $32.79 / $57.57	Professional		$23.23	$32.79	$57.57