Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $128.11 / $532.00	Facility		$35.71	$128.11	$532.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $25.03 / $28.10	Professional		$14.89	$25.03	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $90.55 / $295.38	Facility		$40.92	$90.55	$295.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.39 / $21.64	Professional		$3.50	$19.39	$21.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $69.09 / $129.55	Facility		$29.36	$69.09	$129.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.36 / $34.28 / $42.85	Professional		$18.36	$34.28	$42.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $53.70 / $213.16	Professional		$29.51	$53.70	$213.16
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 $36.53 / $36.53 / $36.53	Professional		$36.53	$36.53	$36.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $15.46 / $35.13	Professional		$10.33	$15.46	$35.13
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $17.85 / $32.81	Professional		$11.80	$17.85	$32.81