Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $60.53 / $304.19	Facility		$29.90	$60.53	$304.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $26.32 / $48.27	Professional		$24.21	$26.32	$48.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.72 / $17.72 / $17.72	Professional		$17.72	$17.72	$17.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $93.30 / $310.39	Facility		$42.81	$93.30	$310.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $20.38 / $22.74	Professional		$3.50	$20.38	$22.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $72.48 / $135.51	Facility		$30.86	$72.48	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $35.93 / $45.22	Professional		$19.29	$35.93	$45.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $55.17 / $214.45	Professional		$31.01	$55.17	$214.45
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 $38.39 / $38.39 / $38.39	Professional		$38.39	$38.39	$38.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $16.23 / $36.90	Professional		$10.84	$16.23	$36.90
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $19.19 / $35.70	Professional		$12.40	$19.19	$35.70