Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.83 / $152.25 / $202.76	Facility		$25.83	$152.25	$202.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $17.32 / $22.97	Professional		$11.94	$17.32	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $27.56	Professional		$13.78	$13.78	$27.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $89.82 / $303.91	Facility		$31.00	$89.82	$303.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.85 / $17.69	Professional		$3.50	$15.85	$17.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $54.94 / $105.72	Facility		$16.05	$54.94	$105.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.43 / $33.57	Professional		$10.47	$26.43	$33.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.12 / $36.75 / $349.59	Professional		$24.12	$36.75	$349.59
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 $29.86 / $29.86 / $29.86	Professional		$29.86	$29.86	$29.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $15.76 / $28.71	Professional		$11.49	$15.76	$28.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $22.97	Professional		$9.65	$13.78	$22.97