Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $194.98 / $371.54	Facility		$38.02	$194.98	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $85.11	Professional		$22.91	$30.90	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $112.20 / $251.19	Facility		$58.88	$112.20	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $33.88 / $66.07	Professional		$10.96	$33.88	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $165.96	Facility		$19.95	$44.67	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $54.95	Professional		$23.44	$37.15	$54.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $151.36	Professional		$34.67	$70.79	$151.36
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 $34.67 / $35.48 / $38.90	Professional		$34.67	$35.48	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $74.13 / $229.09	Facility		$16.98	$74.13	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $51.29	Professional		$26.30	$33.88	$51.29