Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $39.27 / $77.48	Facility		$20.20	$39.27	$77.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $16.48 / $22.98	Professional		$13.05	$16.48	$22.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $12.93 / $14.36	Professional		$12.41	$12.93	$14.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.02 / $54.88 / $220.51	Facility		$31.02	$54.88	$220.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.86 / $17.69	Professional		$3.50	$15.86	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $54.98 / $105.72	Facility		$18.59	$54.98	$105.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.43 / $35.10	Professional		$11.75	$26.43	$35.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $36.77 / $149.18	Professional		$24.13	$36.77	$149.18
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 $29.87 / $29.87 / $29.87	Professional		$29.87	$29.87	$29.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $15.76 / $28.73	Professional		$8.44	$15.76	$28.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.79 / $23.57	Professional		$9.65	$13.79	$23.57