Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $64.75 / $187.63	Facility		$22.62	$64.75	$187.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $16.80 / $21.61	Professional		$14.47	$16.80	$21.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.27 / $11.27	Professional		$11.27	$11.27	$11.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $59.18 / $194.53	Facility		$27.24	$59.18	$194.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.97 / $14.47	Professional		$3.50	$12.97	$14.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $46.04 / $86.37	Facility		$19.64	$46.04	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $22.72 / $28.81	Professional		$12.28	$22.72	$28.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $34.01 / $181.84	Professional		$19.55	$34.01	$181.84
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 $24.43 / $24.43 / $24.43	Professional		$24.43	$24.43	$24.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $10.94 / $23.49	Professional		$6.89	$10.94	$23.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $14.08 / $18.79	Professional		$7.89	$14.08	$18.79