Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.32 / $63.20 / $225.99	Facility		$25.32	$63.20	$225.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $14.93 / $22.31	Professional		$12.91	$14.93	$22.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $20.12 / $22.64	Professional		$8.39	$20.12	$22.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $71.00 / $173.63	Facility		$27.95	$71.00	$173.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.57 / $12.91	Professional		$3.50	$11.57	$12.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.52 / $40.92 / $77.43	Facility		$17.52	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.45 / $25.61	Professional		$10.96	$18.45	$25.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $32.45 / $186.88	Professional		$17.61	$32.45	$186.88
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 $21.80 / $21.80 / $21.80	Professional		$21.80	$21.80	$21.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $9.22 / $17.24	Professional		$8.39	$9.22	$17.24
United Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $16.77 / $20.12	Facility		$11.52	$16.77	$20.12
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $12.58 / $17.27	Professional		$7.04	$12.58	$17.27