Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $18.98 / $35.79	Facility		$18.98	$18.98	$35.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $26.51 / $42.28	Professional		$18.36	$26.51	$42.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.25 / $36.25 / $36.25	Professional		$36.25	$36.25	$36.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.01 / $184.31 / $249.87	Facility		$115.01	$184.31	$249.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.11 / $39.71 / $68.06	Professional		$22.11	$39.71	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.71 / $26.71 / $26.71	Facility		$26.71	$26.71	$26.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.52 / $34.52 / $46.51	Professional		$34.52	$34.52	$46.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $40.74 / $109.50	Professional		$20.50	$40.74	$109.50
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 $24.02 / $24.69 / $50.44	Professional		$24.02	$24.69	$50.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $58.20	Professional		$32.34	$32.34	$58.20
United Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $45.38 / $73.43	Professional		$34.70	$45.38	$73.43