Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.72 / $47.81	Professional		$23.99	$30.72	$47.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.73 / $42.73 / $42.73	Professional		$42.73	$42.73	$42.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $121.05 / $514.21	Facility		$71.55	$121.05	$514.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $45.42 / $45.42	Professional		$38.52	$45.42	$45.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $33.35 / $65.41	Facility		$33.35	$33.35	$65.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.35 / $24.35 / $70.06	Professional		$24.35	$24.35	$70.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $69.51 / $85.98	Professional		$53.78	$69.51	$85.98
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 $77.69 / $77.69 / $77.69	Professional		$77.69	$77.69	$77.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $45.05 / $47.30	Professional		$31.53	$45.05	$47.30
United Facility/Professional Facility Modifier Low / Median / High Price $59.76 / $85.40 / $158.71	Facility		$59.76	$85.40	$158.71
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $29.81 / $52.35	Professional		$22.19	$29.81	$52.35