Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $26.48 / $28.12	Facility		$26.40	$26.48	$28.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $20.57 / $30.58	Professional		$16.55	$20.57	$30.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $28.79 / $28.79	Professional		$28.79	$28.79	$28.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $77.93 / $330.24	Facility		$46.11	$77.93	$330.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $29.17 / $29.17	Professional		$24.74	$29.17	$29.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $41.99	Facility		$24.80	$24.80	$41.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $44.63	Professional		$18.10	$24.80	$44.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $47.59 / $86.00	Professional		$35.64	$47.59	$86.00
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 $49.89 / $49.89 / $49.89	Professional		$49.89	$49.89	$49.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $25.13 / $26.38	Professional		$17.59	$25.13	$26.38
United Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $19.14 / $33.92	Professional		$15.94	$19.14	$33.92