Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $50.58	Facility		$50.58	$50.58	$50.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $50.58 / $77.05	Professional		$44.60	$50.58	$77.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $98.41 / $98.41	Professional		$98.41	$98.41	$98.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $199.06 / $846.68	Facility		$117.66	$199.06	$846.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $74.79 / $74.79	Professional		$58.62	$74.79	$74.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $96.79	Facility		$65.90	$65.90	$96.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $114.00	Professional		$48.11	$65.90	$114.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $121.09 / $150.10	Professional		$88.57	$121.09	$150.10
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 $127.93 / $127.93 / $127.93	Professional		$127.93	$127.93	$127.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $74.17 / $77.87	Professional		$51.91	$74.17	$77.87
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $48.65 / $84.27	Professional		$36.58	$48.65	$84.27