Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $95.50	Facility		$47.86	$47.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $100.00	Professional		$40.74	$48.98	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $67.61	Professional		$66.07	$67.61	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $645.65	Facility		$112.20	$181.97	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $70.79	Professional		$56.23	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $97.72	Professional		$44.67	$44.67	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $144.54	Professional		$79.43	$117.49	$144.54
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 $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $70.79	Professional		$48.98	$48.98	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $74.13 / $144.54	Facility		$37.15	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $74.13	Professional		$35.48	$46.77	$74.13