Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.99 / $53.99 / $166.38	Facility		$53.99	$53.99	$166.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $35.81 / $61.15	Professional		$31.54	$35.81	$61.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $97.69 / $97.69	Professional		$97.69	$97.69	$97.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.78 / $145.26 / $792.74	Facility		$84.78	$145.26	$792.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $72.36 / $72.36	Professional		$54.99	$72.36	$72.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $79.19	Facility		$46.82	$46.82	$79.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $46.82 / $84.00	Professional		$34.18	$46.82	$84.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $76.44 / $98.49	Professional		$65.12	$76.44	$98.49
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 $94.07 / $94.07 / $94.07	Professional		$94.07	$94.07	$94.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $25.00 / $26.25	Professional		$17.50	$25.00	$26.25
United Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $36.10 / $61.66	Professional		$27.55	$36.10	$61.66