Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $81.89 / $251.99	Facility		$27.63	$81.89	$251.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $16.59 / $34.58	Professional		$12.08	$16.59	$34.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.15 / $25.00	Professional		$9.28	$11.15	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $93.74 / $253.60	Facility		$32.51	$93.74	$253.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.31 / $18.57	Professional		$3.50	$14.31	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.41 / $45.21 / $84.88	Facility		$19.41	$45.21	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $22.72 / $28.41	Professional		$13.41	$22.72	$28.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.51 / $33.74 / $152.54	Professional		$19.51	$33.74	$152.54
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 $24.15 / $24.15 / $24.15	Professional		$24.15	$24.15	$24.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $12.75 / $23.23	Professional		$9.28	$12.75	$23.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $11.84 / $18.57	Professional		$7.80	$11.84	$18.57