Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.42 / $51.80 / $170.51	Facility		$28.42	$51.80	$170.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $22.47 / $23.21	Professional		$20.72	$22.47	$23.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $15.16	Professional		$12.64	$12.64	$15.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $80.70 / $265.62	Facility		$37.20	$80.70	$265.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.44 / $19.46	Professional		$3.50	$17.44	$19.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $61.40 / $116.15	Facility		$26.40	$61.40	$116.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $30.98 / $38.82	Professional		$16.51	$30.98	$38.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $48.90 / $201.83	Professional		$26.53	$48.90	$201.83
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 $32.85 / $32.85 / $32.85	Professional		$32.85	$32.85	$32.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $13.90 / $31.59	Professional		$9.28	$13.90	$31.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $17.16 / $26.03	Professional		$10.61	$17.16	$26.03