Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $83.92 / $344.56	Facility		$27.54	$83.92	$344.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $16.86 / $25.23	Professional		$14.60	$16.86	$25.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $11.38 / $25.60	Professional		$9.48	$11.38	$25.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $81.51 / $196.33	Facility		$32.61	$81.51	$196.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.08 / $14.60	Professional		$3.50	$13.08	$14.60
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 $13.37 / $22.11 / $28.91	Professional		$13.37	$22.11	$28.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $36.71 / $150.00	Professional		$19.91	$36.71	$150.00
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 $24.65 / $24.65 / $24.65	Professional		$24.65	$24.65	$24.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.48 / $13.01 / $23.70	Professional		$9.48	$13.01	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $12.08 / $18.96	Professional		$7.96	$12.08	$18.96