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 / $33.88	Professional		$18.20	$22.91	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $38.90	Professional		$25.12	$32.36	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $95.50 / $95.50	Facility		$47.86	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $46.77	Professional		$32.36	$36.31	$46.77
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 / $54.95	Professional		$25.70	$33.11	$54.95
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 $56.23 / $100.00 / $128.82	Facility		$56.23	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $47.86	Professional		$22.39	$30.90	$47.86