Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $84.05 / $197.38	Facility		$20.05	$84.05	$197.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $14.82 / $20.74	Professional		$12.67	$14.82	$20.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $19.75 / $24.69	Professional		$8.23	$19.75	$24.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.95 / $69.68 / $170.40	Facility		$27.95	$69.68	$170.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.36 / $12.67	Professional		$3.50	$11.36	$12.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $40.09 / $75.94	Facility		$17.20	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $20.23 / $25.30	Professional		$10.76	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $30.76 / $148.66	Professional		$17.28	$30.76	$148.66
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 $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $11.29 / $20.58	Professional		$6.04	$11.29	$20.58
United Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $32.92 / $32.92	Facility		$9.48	$32.92	$32.92
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.10 / $16.46	Professional		$6.91	$10.10	$16.46