Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $102.24 / $315.06	Facility		$27.55	$102.24	$315.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.54 / $34.84	Professional		$12.96	$16.54	$34.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $11.11 / $25.00	Professional		$9.26	$11.11	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.85 / $85.50 / $231.30	Facility		$31.85	$85.50	$231.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.26 / $18.52	Professional		$3.50	$14.26	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $45.21 / $84.88	Facility		$19.34	$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 $19.45 / $35.64 / $150.00	Professional		$19.45	$35.64	$150.00
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 $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $10.19 / $23.15	Professional		$6.80	$10.19	$23.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.80 / $19.07	Professional		$7.78	$11.80	$19.07