Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.84 / $95.55 / $249.80	Facility		$23.84	$95.55	$249.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $14.76 / $56.76	Professional		$12.23	$14.76	$56.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $9.77 / $22.01	Professional		$8.15	$9.77	$22.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $69.02 / $168.73	Facility		$27.26	$69.02	$168.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.25 / $12.55	Professional		$3.50	$11.25	$12.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $40.09 / $74.45	Facility		$17.04	$40.09	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $18.77 / $24.78	Professional		$11.51	$18.77	$24.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $31.54 / $161.99	Professional		$17.12	$31.54	$161.99
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 $21.19 / $21.19 / $21.19	Professional		$21.19	$21.19	$21.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $11.18 / $20.38	Professional		$8.15	$11.18	$20.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $11.08 / $16.80	Professional		$6.85	$11.08	$16.80