Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.15 / $49.15 / $49.15	Facility		$49.15	$49.15	$49.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $49.15 / $78.91	Professional		$44.19	$49.15	$78.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $76.44 / $76.44	Professional		$76.44	$76.44	$76.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $976.22 / $3,556.42	Facility		$400.00	$976.22	$3,556.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $266.00 / $266.00	Professional		$266.00	$266.00	$266.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Facility		$69.84	$69.84	$69.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $69.84 / $98.63	Professional		$50.99	$69.84	$98.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $159.43 / $170.54	Professional		$117.78	$159.43	$170.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $71.61 / $83.54	Professional		$40.00	$71.61	$83.54
United Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $58.49 / $101.38	Professional		$48.07	$58.49	$101.38