Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.17 / $38.17 / $74.27	Facility		$38.17	$38.17	$74.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $38.17 / $42.41	Professional		$27.22	$38.17	$42.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $55.70 / $55.70	Professional		$55.70	$55.70	$55.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.04 / $150.63 / $639.00	Facility		$89.04	$150.63	$639.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $56.45 / $56.45	Professional		$38.79	$56.45	$56.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $66.55	Facility		$48.99	$48.99	$66.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.99 / $86.25	Professional		$35.76	$48.99	$86.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $76.91 / $103.08	Professional		$59.42	$76.91	$103.08
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 $96.55 / $96.55 / $96.55	Professional		$96.55	$96.55	$96.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $55.98 / $58.77	Professional		$39.18	$55.98	$58.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $35.89 / $62.03	Professional		$25.01	$35.89	$62.03