Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $119.74 / $229.46	Facility		$23.02	$119.74	$229.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.82 / $25.12	Professional		$7.79	$12.82	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $7.35 / $19.85	Professional		$7.35	$7.35	$19.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $63.27 / $152.22	Facility		$25.28	$63.27	$152.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.14 / $11.32	Professional		$3.50	$10.14	$11.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $35.83 / $67.01	Facility		$15.36	$35.83	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $17.76 / $22.41	Professional		$9.60	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.44 / $28.45 / $132.84	Professional		$15.44	$28.45	$132.84
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 $19.11 / $19.11 / $19.11	Professional		$19.11	$19.11	$19.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.08 / $18.38	Professional		$7.35	$10.08	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.02 / $15.14	Professional		$6.17	$9.02	$15.14