Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $72.25 / $171.89	Facility		$51.31	$72.25	$171.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $64.65	Professional		$51.31	$51.31	$64.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $25.66 / $69.27	Professional		$25.66	$25.66	$69.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $60.03 / $89.79	Facility		$19.11	$60.03	$89.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $43.10 / $51.31	Professional		$3.50	$43.10	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $122.73 / $236.76	Facility		$67.36	$122.73	$236.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.72 / $67.95	Professional		$51.31	$56.72	$67.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $84.03 / $138.69	Professional		$56.70	$84.03	$138.69
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 $66.70 / $66.70 / $66.70	Professional		$66.70	$66.70	$66.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.43	Professional		$30.00	$30.00	$75.43
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $51.33	Professional		$21.55	$30.79	$51.33