Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.21 / $106.09 / $219.82	Facility		$34.21	$106.09	$219.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $26.35 / $33.67	Professional		$23.42	$26.35	$33.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $91.46 / $307.80	Facility		$42.45	$91.46	$307.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.20 / $22.55	Professional		$3.50	$20.20	$22.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $71.64 / $135.51	Facility		$30.59	$71.64	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $35.52 / $44.82	Professional		$19.12	$35.52	$44.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $53.00 / $238.38	Professional		$30.74	$53.00	$238.38
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 $38.06 / $38.06 / $38.06	Professional		$38.06	$38.06	$38.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $17.64 / $36.60	Professional		$10.76	$17.64	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $22.50 / $31.50	Professional		$12.30	$22.50	$31.50