Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $43.98 / $134.76	Facility		$36.26	$43.98	$134.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.28 / $43.94	Professional		$36.26	$36.28	$43.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.26 / $36.26	Professional		$36.26	$36.26	$36.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $140.38 / $669.56	Facility		$92.12	$140.38	$669.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $44.83 / $44.83	Professional		$39.70	$44.83	$44.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.28 / $36.28 / $36.28	Facility		$36.28	$36.28	$36.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $36.28 / $42.72	Professional		$36.28	$36.28	$42.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $52.61 / $101.46	Professional		$36.28	$52.61	$101.46
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 $47.16 / $47.16 / $47.16	Professional		$47.16	$47.16	$47.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $52.63	Professional		$30.00	$30.00	$52.63
United Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $38.46 / $40.63	Professional		$36.28	$38.46	$40.63