Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $29.77 / $78.62	Facility		$25.30	$29.77	$78.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $25.30 / $40.89	Professional		$19.57	$25.30	$40.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $69.00	Professional		$30.00	$30.00	$69.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.80 / $102.22 / $559.91	Facility		$60.80	$102.22	$559.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $51.11 / $51.11	Professional		$38.84	$51.11	$51.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $53.41	Facility		$29.97	$35.00	$53.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $34.32 / $59.25	Professional		$25.55	$34.32	$59.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $51.11 / $71.55	Professional		$43.44	$51.11	$71.55
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 $66.44 / $66.44 / $66.44	Professional		$66.44	$66.44	$66.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $29.50 / $30.97	Professional		$20.65	$29.50	$30.97
United Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $25.50 / $43.78	Professional		$19.46	$25.50	$43.78