Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $57.66 / $79.19	Facility		$24.82	$57.66	$79.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $25.05 / $59.10	Professional		$22.20	$25.05	$59.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $17.30	Professional		$17.30	$17.30	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.49 / $131.88 / $381.39	Facility		$39.49	$131.88	$381.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $21.09 / $22.20	Professional		$3.50	$21.09	$22.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $70.78 / $132.53	Facility		$30.13	$70.78	$132.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $35.10 / $44.02	Professional		$18.84	$35.10	$44.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $50.45 / $288.88	Professional		$30.27	$50.45	$288.88
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 $37.47 / $37.47 / $37.47	Professional		$37.47	$37.47	$37.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $17.64 / $36.04	Professional		$10.59	$17.64	$36.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $18.36 / $28.83	Professional		$12.11	$18.36	$28.83