Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $67.61	Professional		$36.31	$45.71	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $93.33	Professional		$77.62	$77.62	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.23 / $10.23	Professional		$4.79	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $117.49	Facility		$43.65	$43.65	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $93.33	Professional		$37.15	$43.65	$93.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $10.00	Professional		$5.13	$6.46	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $34.67 / $66.07	Facility		$4.37	$34.67	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $102.33	Professional		$37.15	$61.66	$102.33