Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $104.30 / $366.56	Facility		$31.49	$104.30	$366.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.19 / $32.11	Professional		$13.56	$18.19	$32.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $20.86 / $28.00	Professional		$10.43	$20.86	$28.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.94 / $88.33 / $215.94	Facility		$34.94	$88.33	$215.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.82 / $16.05	Professional		$3.50	$14.82	$16.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.79 / $51.16 / $95.30	Facility		$21.79	$51.16	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $24.19 / $32.02	Professional		$13.63	$24.19	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $38.59 / $146.22	Professional		$21.90	$38.59	$146.22
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 $27.12 / $27.12 / $27.12	Professional		$27.12	$27.12	$27.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $11.47 / $26.08	Professional		$7.66	$11.47	$26.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.60 / $20.86	Professional		$8.76	$12.60	$20.86