Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.26 / $70.00 / $246.40	Facility		$25.26	$70.00	$246.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.16 / $74.88	Professional		$11.29	$14.16	$74.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $8.64 / $10.36	Professional		$8.64	$8.64	$10.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $58.90 / $196.08	Facility		$23.85	$58.90	$196.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.30 / $17.27	Professional		$3.50	$13.30	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $41.33 / $78.92	Facility		$14.26	$41.33	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $20.02 / $26.33	Professional		$8.77	$20.02	$26.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $26.47 / $150.04	Professional		$18.13	$26.47	$150.04
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 $22.45 / $22.45 / $22.45	Professional		$22.45	$22.45	$22.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.85 / $21.59	Professional		$8.64	$11.85	$21.59
United Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $18.13 / $42.66	Facility		$17.27	$18.13	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $17.79	Professional		$7.25	$10.36	$17.79