Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.50 / $41.22 / $225.97	Facility		$18.50	$41.22	$225.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $15.52 / $22.94	Professional		$13.06	$15.52	$22.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Professional		$10.83	$10.83	$10.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.72 / $96.29 / $238.80	Facility		$24.72	$96.29	$238.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.45 / $13.90	Professional		$3.50	$12.45	$13.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $44.75 / $83.39	Facility		$18.86	$44.75	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $20.86 / $27.36	Professional		$11.79	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $31.59 / $234.97	Professional		$18.41	$31.59	$234.97
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 $23.47 / $23.47 / $23.47	Professional		$23.47	$23.47	$23.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $12.38 / $22.56	Professional		$9.02	$12.38	$22.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $10.83 / $18.05	Professional		$7.58	$10.83	$18.05