Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $47.21 / $163.43	Facility		$23.73	$47.21	$163.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.01 / $20.26	Professional		$15.28	$18.01	$20.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $12.40	Professional		$12.40	$12.40	$12.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $64.56 / $217.30	Facility		$29.97	$64.56	$217.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.26 / $15.92	Professional		$3.50	$14.26	$15.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $50.33 / $95.30	Facility		$21.59	$50.33	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $25.19 / $31.61	Professional		$13.50	$25.19	$31.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $36.26 / $156.72	Professional		$21.70	$36.26	$156.72
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 $26.87 / $26.87 / $26.87	Professional		$26.87	$26.87	$26.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.37 / $25.84	Professional		$7.59	$11.37	$25.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $13.17 / $21.29	Professional		$8.68	$13.17	$21.29