Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $45.03 / $350.46	Facility		$21.96	$45.03	$350.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $19.92 / $76.59	Professional		$17.57	$19.92	$76.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $69.94 / $230.82	Facility		$32.24	$69.94	$230.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.15 / $16.91	Professional		$3.50	$15.15	$16.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $53.73 / $101.26	Facility		$22.95	$53.73	$101.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.59 / $25.44 / $33.56	Professional		$15.59	$25.44	$33.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $38.43 / $149.18	Professional		$21.96	$38.43	$149.18
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 $28.55 / $28.55 / $28.55	Professional		$28.55	$28.55	$28.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.89 / $12.08 / $27.45	Professional		$4.89	$12.08	$27.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $13.99 / $25.65	Professional		$9.22	$13.99	$25.65