Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $39.33 / $106.67	Facility		$28.70	$39.33	$106.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $29.29 / $36.90	Professional		$28.70	$29.29	$36.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Professional		$34.44	$34.44	$34.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $117.08 / $558.36	Facility		$76.81	$117.08	$558.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $36.25 / $37.00	Professional		$32.09	$36.25	$37.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $36.67	Professional		$29.29	$29.29	$36.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $43.94 / $81.02	Professional		$29.29	$43.94	$81.02
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 $38.08 / $38.08 / $38.08	Professional		$38.08	$38.08	$38.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.92 / $40.49 / $43.38	Professional		$28.92	$40.49	$43.38
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $65.90	Facility		$29.29	$29.29	$65.90
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $30.98 / $33.71	Professional		$29.29	$30.98	$33.71