Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $95.50	Facility		$46.77	$46.77	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $91.20	Professional		$40.74	$47.86	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $102.33	Professional		$47.86	$47.86	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $181.97 / $645.65	Facility		$112.20	$181.97	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $70.79	Professional		$54.95	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $64.57	Facility		$56.23	$56.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $107.15	Professional		$41.69	$41.69	$107.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $165.96	Professional		$79.43	$128.82	$165.96
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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $74.13 / $134.90	Facility		$35.48	$74.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $69.18	Professional		$34.67	$46.77	$69.18