Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.69 / $89.25 / $393.70	Facility		$31.69	$89.25	$393.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $22.01 / $29.48	Professional		$19.44	$22.01	$29.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Professional		$15.15	$15.15	$15.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $79.58 / $265.35	Facility		$36.61	$79.58	$265.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.42 / $19.44	Professional		$3.50	$17.42	$19.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $61.40 / $116.15	Facility		$26.38	$61.40	$116.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $30.98 / $38.82	Professional		$16.48	$30.98	$38.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $48.86 / $186.48	Professional		$26.51	$48.86	$186.48
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 $32.83 / $32.83 / $32.83	Professional		$32.83	$32.83	$32.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $13.89 / $18.56	Professional		$9.27	$13.89	$18.56
United Facility/Professional Facility Modifier Low / Median / High Price $42.34 / $42.34 / $42.34	Facility		$42.34	$42.34	$42.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $17.14 / $26.01	Professional		$10.61	$17.14	$26.01