Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $59.36 / $96.74	Facility		$27.80	$59.36	$96.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $24.73 / $27.80	Professional		$22.80	$24.73	$27.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $16.68 / $19.30	Professional		$9.80	$16.68	$19.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $45.31 / $292.24	Facility		$24.15	$45.31	$292.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.18 / $27.80	Professional		$3.50	$19.18	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $68.23 / $128.06	Facility		$29.05	$68.23	$128.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $33.86 / $42.42	Professional		$18.16	$33.86	$42.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $48.65 / $187.52	Professional		$27.80	$48.65	$187.52
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 $36.14 / $36.14 / $36.14	Professional		$36.14	$36.14	$36.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $15.29 / $34.75	Professional		$5.67	$15.29	$34.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.96 / $16.68 / $32.47	Professional		$9.96	$16.68	$32.47