Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $126.82 / $284.16	Facility		$43.30	$126.82	$284.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $25.74 / $57.33	Professional		$15.69	$25.74	$57.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $14.80 / $39.96	Professional		$7.99	$14.80	$39.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $124.43 / $434.83	Facility		$44.66	$124.43	$434.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.42 / $23.68	Professional		$3.50	$20.42	$23.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.93 / $72.48 / $136.99	Facility		$30.93	$72.48	$136.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $34.61 / $44.91	Professional		$20.98	$34.61	$44.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $54.76 / $273.27	Professional		$31.08	$54.76	$273.27
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 $38.47 / $38.47 / $38.47	Professional		$38.47	$38.47	$38.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $16.28 / $37.00	Professional		$9.30	$16.28	$37.00
United Facility/Professional Facility Modifier Low / Median / High Price $49.63 / $49.63 / $49.63	Facility		$49.63	$49.63	$49.63
United Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $22.20 / $34.57	Professional		$12.43	$22.20	$34.57