Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $58.07 / $95.70	Facility		$23.02	$58.07	$95.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.32 / $21.86	Professional		$12.74	$14.32	$21.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $9.55 / $21.00	Professional		$4.30	$9.55	$21.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.63 / $56.49 / $222.91	Facility		$25.63	$56.49	$222.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.26 / $15.92	Professional		$3.50	$12.26	$15.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $39.24 / $72.95	Facility		$16.63	$39.24	$72.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $22.05 / $47.91	Professional		$11.44	$22.05	$47.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $27.86 / $132.21	Professional		$15.92	$27.86	$132.21
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 $20.70 / $20.70 / $20.70	Professional		$20.70	$20.70	$20.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $10.50 / $19.89	Professional		$5.84	$10.50	$19.89
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.92 / $23.22	Professional		$9.55	$15.92	$23.22