Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $32.69 / $86.64	Facility		$17.14	$32.69	$86.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $16.93 / $33.86	Professional		$14.38	$16.93	$33.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $11.21 / $11.21	Professional		$11.21	$11.21	$11.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $67.25 / $261.87	Facility		$30.07	$67.25	$261.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.38 / $18.68	Professional		$3.50	$14.38	$18.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $46.04 / $86.37	Facility		$19.53	$46.04	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $22.72 / $28.41	Professional		$12.21	$22.72	$28.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.61 / $34.65 / $184.93	Professional		$19.61	$34.65	$184.93
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 $24.28 / $24.28 / $24.28	Professional		$24.28	$24.28	$24.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $12.81 / $23.35	Professional		$9.34	$12.81	$23.35
United Facility/Professional Facility Modifier Low / Median / High Price $18.68 / $19.61 / $46.14	Facility		$18.68	$19.61	$46.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $12.53 / $26.00	Professional		$7.85	$12.53	$26.00