Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $91.33 / $253.60	Facility		$21.50	$91.33	$253.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $15.29 / $24.60	Professional		$12.54	$15.29	$24.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $17.92 / $24.19	Professional		$8.96	$17.92	$24.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $54.88 / $174.66	Facility		$28.85	$54.88	$174.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.73 / $13.80	Professional		$3.50	$12.73	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $42.87 / $81.90	Facility		$17.63	$42.87	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $20.86 / $27.36	Professional		$11.02	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $32.44 / $253.33	Professional		$18.82	$32.44	$253.33
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 $23.30 / $23.30 / $23.30	Professional		$23.30	$23.30	$23.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $12.29 / $22.40	Professional		$6.93	$12.29	$22.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.65 / $23.57	Professional		$7.53	$11.65	$23.57