Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $87.22 / $538.44	Facility		$41.20	$87.22	$538.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $90.04	Professional		$40.65	$41.06	$90.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Professional		$41.20	$41.20	$41.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $132.41 / $426.49	Facility		$83.21	$132.41	$426.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $47.41 / $52.68	Professional		$47.41	$47.41	$52.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.94	Professional		$40.65	$40.65	$47.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $72.48 / $234.49	Professional		$40.65	$72.48	$234.49
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 $52.85 / $52.85 / $52.85	Professional		$52.85	$52.85	$52.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $58.63 / $62.82	Professional		$41.88	$58.63	$62.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.74	Professional		$40.65	$40.65	$47.74