Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.03 / $45.82 / $80.15	Facility		$24.03	$45.82	$80.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $24.64 / $25.44	Professional		$22.35	$24.64	$25.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $16.76 / $16.76	Professional		$16.76	$16.76	$16.76
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 / $19.28 / $21.51	Professional		$3.50	$19.28	$21.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $69.16 / $128.06	Facility		$19.52	$69.16	$128.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $32.02 / $42.34	Professional		$22.77	$32.02	$42.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $45.57 / $193.94	Professional		$29.34	$45.57	$193.94
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 $19.17 / $27.94 / $34.93	Professional		$19.17	$27.94	$34.93
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $27.94	Professional		$11.73	$16.76	$27.94