Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $39.02 / $86.45	Facility		$24.48	$39.02	$86.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $15.35 / $30.70	Professional		$13.14	$15.35	$30.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.65 / $25.31	Professional		$10.55	$12.65	$25.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.26 / $49.39 / $202.35	Facility		$28.26	$49.39	$202.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.55 / $16.23	Professional		$3.50	$14.55	$16.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $50.45 / $96.79	Facility		$17.07	$50.45	$96.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $24.37 / $32.01	Professional		$10.53	$24.37	$32.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $29.97 / $95.77	Professional		$22.14	$29.97	$95.77
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 $27.42 / $27.42 / $27.42	Professional		$27.42	$27.42	$27.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $11.60 / $26.36	Professional		$7.74	$11.60	$26.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.65 / $21.65	Professional		$8.86	$12.65	$21.65