Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $33.88	Facility		$22.91	$25.70	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.20	Professional		$18.20	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $33.88	Professional		$26.30	$32.36	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Facility		$93.33	$93.33	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.90 / $45.71	Professional		$34.67	$38.90	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $44.67	Professional		$28.84	$28.84	$44.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $74.13	Professional		$25.70	$33.11	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $275.42 / $354.81	Facility		$151.36	$275.42	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $47.86	Professional		$22.39	$30.90	$47.86