Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $84.01 / $243.02	Facility		$25.53	$84.01	$243.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $15.22 / $27.57	Professional		$13.79	$15.22	$27.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $10.61 / $12.73	Professional		$10.61	$10.61	$12.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.63 / $51.11 / $203.54	Facility		$28.63	$51.11	$203.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.63 / $16.32	Professional		$3.50	$14.63	$16.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $50.75 / $98.28	Facility		$18.14	$50.75	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $24.61 / $32.53	Professional		$10.92	$24.61	$32.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $33.94 / $207.53	Professional		$22.27	$33.94	$207.53
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 $27.57 / $27.57 / $27.57	Professional		$27.57	$27.57	$27.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $11.67 / $26.51	Professional		$7.79	$11.67	$26.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.73 / $25.45	Professional		$8.91	$12.73	$25.45