Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.67 / $36.67 / $59.06	Facility		$36.67	$36.67	$59.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $36.67 / $52.55	Professional		$31.54	$36.67	$52.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.35 / $164.01 / $345.23	Facility		$119.35	$164.01	$345.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $67.92 / $110.44	Professional		$44.77	$67.92	$110.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $78.68	Facility		$40.36	$40.36	$78.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $71.63	Professional		$34.31	$34.31	$71.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $98.77 / $214.14	Professional		$50.20	$98.77	$214.14
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 $76.78 / $76.78 / $76.78	Professional		$76.78	$76.78	$76.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.96 / $50.96 / $76.44	Professional		$50.96	$50.96	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $37.01 / $67.48	Professional		$21.39	$37.01	$67.48