Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $81.28	Facility		$38.90	$38.90	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $81.28	Professional		$37.15	$42.66	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $60.26 / $70.79	Professional		$56.23	$60.26	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $549.54	Facility		$95.50	$154.88	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $60.26	Professional		$58.88	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $89.13	Facility		$51.29	$51.29	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $89.13	Professional		$38.02	$38.02	$89.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $125.89	Professional		$74.13	$97.72	$125.89
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 $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $45.71	Professional		$32.36	$32.36	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $64.57 / $131.83	Facility		$53.70	$64.57	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $39.81 / $66.07	Professional		$33.11	$39.81	$66.07