Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $60.00 / $200.93	Facility		$26.78	$60.00	$200.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.92 / $43.77	Professional		$17.41	$23.92	$43.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $83.39 / $281.58	Facility		$38.84	$83.39	$281.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.48 / $20.63	Professional		$3.50	$18.48	$20.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $65.66 / $123.59	Facility		$27.99	$65.66	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $32.63 / $40.82	Professional		$17.50	$32.63	$40.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $51.81 / $241.32	Professional		$28.13	$51.81	$241.32
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 $34.83 / $34.83 / $34.83	Professional		$34.83	$34.83	$34.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $14.73 / $33.49	Professional		$6.61	$14.73	$33.49
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $27.59	Professional		$11.25	$16.07	$27.59