Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.83 / $47.83 / $47.83	Facility		$47.83	$47.83	$47.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $47.83 / $74.13	Professional		$37.39	$47.83	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $65.14 / $65.14	Professional		$65.14	$65.14	$65.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.30 / $188.30 / $800.78	Facility		$111.30	$188.30	$800.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $70.73 / $70.73	Professional		$55.44	$70.73	$70.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $56.56 / $98.27	Facility		$56.56	$56.56	$98.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $56.56 / $108.00	Professional		$41.29	$56.56	$108.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $129.62 / $166.62	Professional		$89.34	$129.62	$166.62
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 $120.98 / $120.98 / $120.98	Professional		$120.98	$120.98	$120.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.82 / $56.89 / $59.73	Professional		$39.82	$56.89	$59.73
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $46.43 / $82.22	Professional		$37.60	$46.43	$82.22