Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $51.10 / $70.18	Facility		$22.00	$51.10	$70.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $21.97 / $32.47	Professional		$13.53	$21.97	$32.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $78.01 / $268.49	Facility		$37.04	$78.01	$268.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.67 / $19.67	Professional		$3.50	$19.67	$19.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $61.72 / $117.64	Facility		$26.13	$61.72	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $30.98 / $38.72	Professional		$16.32	$30.98	$38.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $47.01 / $232.51	Professional		$26.83	$47.01	$232.51
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 $33.22 / $33.22 / $33.22	Professional		$33.22	$33.22	$33.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $14.05 / $31.94	Professional		$5.67	$14.05	$31.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $15.33 / $26.32	Professional		$10.73	$15.33	$26.32