Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $38.92 / $75.73	Facility		$38.92	$38.92	$75.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.47 / $39.64 / $60.32	Professional		$34.47	$39.64	$60.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $56.80 / $56.80	Professional		$56.80	$56.80	$56.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.63 / $153.33 / $651.57	Facility		$90.63	$153.33	$651.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $57.55 / $57.55	Professional		$48.81	$57.55	$57.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $83.30	Facility		$48.98	$48.98	$83.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.98 / $87.75	Professional		$35.76	$48.98	$87.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $95.87 / $115.97	Professional		$75.73	$95.87	$115.97
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 $98.45 / $98.45 / $98.45	Professional		$98.45	$98.45	$98.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.96 / $57.09 / $59.94	Professional		$39.96	$57.09	$59.94
United Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $37.78 / $78.06	Professional		$31.49	$37.78	$78.06