Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $27.85 / $27.85	Facility		$27.85	$27.85	$27.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $27.85 / $42.19	Professional		$22.41	$27.85	$42.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $42.20 / $42.20	Professional		$42.20	$42.20	$42.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $112.98 / $484.15	Facility		$66.78	$112.98	$484.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $42.77 / $42.77	Professional		$41.76	$42.77	$42.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $55.35	Facility		$34.77	$34.77	$55.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $65.42	Professional		$25.38	$25.38	$65.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $65.52 / $83.04	Professional		$53.40	$65.52	$83.04
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 $73.15 / $73.15 / $73.15	Professional		$73.15	$73.15	$73.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $32.47 / $34.09	Professional		$22.72	$32.47	$34.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $28.07 / $48.19	Professional		$21.42	$28.07	$48.19