Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $40.61 / $61.42	Facility		$40.61	$40.61	$61.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $40.61 / $58.32	Professional		$32.61	$40.61	$58.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $67.17 / $67.17	Professional		$67.17	$67.17	$67.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.81 / $158.71 / $679.86	Facility		$93.81	$158.71	$679.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $60.06 / $60.06	Professional		$42.44	$60.06	$60.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $85.37	Facility		$46.70	$46.70	$85.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $46.70 / $91.50	Professional		$34.09	$46.70	$91.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $94.21 / $121.66	Professional		$73.48	$94.21	$121.66
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 $102.73 / $102.73 / $102.73	Professional		$102.73	$102.73	$102.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $36.64 / $38.47	Professional		$25.64	$36.64	$38.47
United Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $104.62 / $194.41	Facility		$79.02	$104.62	$194.41
United Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $38.72 / $67.67	Professional		$27.19	$38.72	$67.67