Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $50.03 / $99.76	Facility		$29.28	$50.03	$99.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $25.18 / $26.55	Professional		$21.39	$25.18	$26.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.45 / $73.20 / $307.80	Facility		$42.45	$73.20	$307.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.20 / $22.55	Professional		$3.50	$20.20	$22.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $72.41 / $135.51	Facility		$32.72	$72.41	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $34.20 / $44.40	Professional		$24.09	$34.20	$44.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $51.24 / $236.83	Professional		$30.74	$51.24	$236.83
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 $38.06 / $38.06 / $38.06	Professional		$38.06	$38.06	$38.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $20.09 / $36.60	Professional		$14.64	$20.09	$36.60
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.89 / $32.53	Professional		$12.30	$17.89	$32.53