Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $37.63 / $59.75	Facility		$37.63	$37.63	$59.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $51.58 / $69.41	Professional		$36.51	$51.58	$69.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Professional		$58.79	$58.79	$58.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.31 / $229.38 / $249.87	Facility		$184.31	$229.38	$249.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $71.38 / $113.61	Professional		$43.86	$71.38	$113.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.91 / $52.91 / $52.91	Facility		$52.91	$52.91	$52.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.14 / $57.14 / $76.31	Professional		$57.14	$57.14	$76.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $68.70 / $130.80	Professional		$39.97	$68.70	$130.80
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 $47.62 / $48.92 / $83.68	Professional		$47.62	$48.92	$83.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $96.56	Professional		$32.34	$32.34	$96.56
United Facility/Professional Professional Modifier Low / Median / High Price $54.63 / $75.45 / $122.87	Professional		$54.63	$75.45	$122.87