Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.62 / $32.97 / $266.44	Facility		$24.62	$32.97	$266.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $31.10	Professional		$20.35	$20.55	$31.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $25.60	Professional		$25.60	$25.60	$25.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $77.79 / $852.77	Facility		$32.00	$77.79	$852.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $78.02 / $88.11	Professional		$78.02	$78.02	$88.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Facility		$20.35	$20.35	$20.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $44.47	Professional		$20.35	$20.35	$44.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $59.69 / $262.39	Professional		$20.35	$59.69	$262.39
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 $26.46 / $26.46 / $26.46	Professional		$26.46	$26.46	$26.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.84 / $38.40	Professional		$25.60	$35.84	$38.40
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.57 / $25.91	Professional		$20.35	$21.57	$25.91