Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.96 / $76.44	Facility		$20.89	$50.96	$76.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.16 / $32.38	Professional		$18.84	$22.16	$32.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $80.70 / $267.81	Facility		$37.20	$80.70	$267.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.57 / $19.62	Professional		$3.50	$17.57	$19.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $62.26 / $117.64	Facility		$26.62	$62.26	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $30.98 / $38.82	Professional		$16.64	$30.98	$38.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $47.14 / $221.94	Professional		$26.75	$47.14	$221.94
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $14.01 / $31.85	Professional		$5.27	$14.01	$31.85
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $19.11 / $25.48	Professional		$10.70	$19.11	$25.48