Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $41.32 / $60.28	Facility		$22.19	$41.32	$60.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $21.49 / $26.60	Professional		$15.72	$21.49	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Professional		$14.51	$14.51	$14.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $38.92 / $254.16	Facility		$20.93	$38.92	$254.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.68 / $18.62	Professional		$3.50	$16.68	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $58.85 / $111.68	Facility		$25.26	$58.85	$111.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $26.60 / $36.82	Professional		$15.11	$26.60	$36.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $38.69 / $148.81	Professional		$24.18	$38.69	$148.81
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 $31.43 / $31.43 / $31.43	Professional		$31.43	$31.43	$31.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $16.59 / $30.23	Professional		$8.88	$16.59	$30.23
United Facility/Professional Facility Modifier Low / Median / High Price $13.93 / $48.36 / $48.36	Facility		$13.93	$48.36	$48.36
United Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $14.51 / $28.24	Professional		$8.55	$14.51	$28.24