Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.58 / $114.59 / $292.12	Facility		$40.58	$114.59	$292.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $47.02	Professional		$19.55	$24.96	$47.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $16.76 / $37.72	Professional		$13.97	$16.76	$37.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $57.39 / $261.13	Facility		$22.23	$57.39	$261.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.43 / $21.51	Professional		$3.50	$20.43	$21.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $68.23 / $128.06	Facility		$29.19	$68.23	$128.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $32.11 / $42.82	Professional		$18.25	$32.11	$42.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $44.70 / $196.29	Professional		$27.94	$44.70	$196.29
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 $36.32 / $36.32 / $36.32	Professional		$36.32	$36.32	$36.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $15.37 / $34.93	Professional		$10.26	$15.37	$34.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $16.76 / $32.61	Professional		$8.83	$16.76	$32.61