Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $52.79 / $75.40	Facility		$37.02	$52.79	$75.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $37.02 / $59.91	Professional		$26.97	$37.02	$59.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $61.23 / $61.23	Professional		$61.23	$61.23	$61.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $145.26 / $619.75	Facility		$85.86	$145.26	$619.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $54.74 / $54.74	Professional		$35.17	$54.74	$54.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $77.06	Facility		$36.61	$36.61	$77.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $83.63	Professional		$26.73	$36.61	$83.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $79.23 / $104.44	Professional		$61.23	$79.23	$104.44
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 $93.64 / $93.64 / $93.64	Professional		$93.64	$93.64	$93.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $47.15 / $49.50	Professional		$33.00	$47.15	$49.50
United Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $35.61 / $63.10	Professional		$22.63	$35.61	$63.10