Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $66.16 / $348.00	Facility		$28.91	$66.16	$348.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $19.27 / $34.82	Professional		$15.71	$19.27	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $57.63 / $231.14	Facility		$32.54	$57.63	$231.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.62 / $18.55	Professional		$3.50	$16.62	$18.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $57.63 / $110.19	Facility		$19.92	$57.63	$110.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $27.67 / $36.65	Professional		$12.24	$27.67	$36.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $36.92 / $150.00	Professional		$25.29	$36.92	$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 $31.32 / $31.32 / $31.32	Professional		$31.32	$31.32	$31.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $12.78 / $17.70	Professional		$8.85	$12.78	$17.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.45 / $25.23	Professional		$10.11	$14.45	$25.23