Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $34.15 / $102.74	Facility		$19.57	$34.15	$102.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.86 / $32.97	Professional		$14.03	$16.86	$32.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Professional		$11.38	$11.38	$11.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $60.38 / $199.42	Facility		$27.50	$60.38	$199.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.09 / $14.61	Professional		$3.50	$13.09	$14.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $46.04 / $87.86	Facility		$19.82	$46.04	$87.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $23.13 / $29.21	Professional		$12.39	$23.13	$29.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $36.71 / $169.70	Professional		$19.92	$36.71	$169.70
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 $24.66 / $24.66 / $24.66	Professional		$24.66	$24.66	$24.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $10.43 / $23.71	Professional		$6.97	$10.43	$23.71
United Facility/Professional Facility Modifier Low / Median / High Price $31.81 / $31.81 / $31.81	Facility		$31.81	$31.81	$31.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $12.72 / $19.54	Professional		$7.97	$12.72	$19.54