Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.69 / $53.38 / $189.08	Facility		$26.69	$53.38	$189.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $19.42 / $34.15	Professional		$15.15	$19.42	$34.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $16.01 / $16.01	Professional		$16.01	$16.01	$16.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $57.63 / $256.08	Facility		$33.36	$57.63	$256.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.42 / $20.55	Professional		$3.50	$18.42	$20.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $63.85 / $123.59	Facility		$19.64	$63.85	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $30.98 / $40.79	Professional		$12.62	$30.98	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $42.70 / $174.38	Professional		$28.02	$42.70	$174.38
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 $34.70 / $34.70 / $34.70	Professional		$34.70	$34.70	$34.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $14.68 / $33.36	Professional		$7.51	$14.68	$33.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.61 / $26.69	Professional		$11.21	$15.61	$26.69