Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $82.11 / $144.80	Facility		$40.28	$82.11	$144.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $31.65 / $35.09	Professional		$27.02	$31.65	$35.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $52.64 / $52.64	Professional		$52.64	$52.64	$52.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $43.86 / $62.10	Facility		$18.89	$43.86	$62.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $24.21 / $27.02	Professional		$3.50	$24.21	$27.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.82 / $81.00 / $160.82	Facility		$20.82	$81.00	$160.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.45 / $18.45 / $38.56	Professional		$18.45	$18.45	$38.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $59.65 / $108.97	Professional		$38.60	$59.65	$108.97
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 $45.62 / $45.62 / $45.62	Professional		$45.62	$45.62	$45.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $47.72 / $52.64	Professional		$47.72	$47.72	$52.64
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $23.83 / $43.81	Professional		$14.74	$23.83	$43.81