Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $63.74 / $333.94	Facility		$28.47	$63.74	$333.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $19.75 / $28.20	Professional		$14.36	$19.75	$28.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $16.27 / $16.27	Professional		$16.27	$16.27	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.78 / $111.86 / $395.06	Facility		$35.78	$111.86	$395.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.71 / $20.87	Professional		$3.50	$18.71	$20.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $64.84 / $125.08	Facility		$30.53	$64.84	$125.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.78 / $31.70 / $41.30	Professional		$22.78	$31.70	$41.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $47.44 / $274.13	Professional		$28.47	$47.44	$274.13
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 $35.24 / $35.24 / $35.24	Professional		$35.24	$35.24	$35.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $27.11 / $33.89	Professional		$13.56	$27.11	$33.89
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $27.11	Professional		$11.39	$16.27	$27.11