Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $126.72 / $339.24	Facility		$28.60	$126.72	$339.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $17.05 / $50.01	Professional		$14.33	$17.05	$50.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $19.38 / $26.16	Professional		$9.69	$19.38	$26.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $83.40 / $200.59	Facility		$33.33	$83.40	$200.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.37 / $14.92	Professional		$3.50	$13.37	$14.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $47.76 / $89.34	Facility		$20.25	$47.76	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.66 / $23.54 / $29.61	Professional		$12.66	$23.54	$29.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $35.85 / $184.32	Professional		$20.35	$35.85	$184.32
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 $25.19 / $25.19 / $25.19	Professional		$25.19	$25.19	$25.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $13.29 / $24.23	Professional		$7.11	$13.29	$24.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $12.60 / $19.38	Professional		$8.14	$12.60	$19.38