Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $78.84 / $196.62	Facility		$26.13	$78.84	$196.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $19.17 / $26.31	Professional		$14.29	$19.17	$26.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $32.99 / $32.99	Professional		$13.19	$32.99	$32.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.24 / $69.94 / $231.09	Facility		$32.24	$69.94	$231.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.63 / $16.93	Professional		$3.50	$15.63	$16.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.97 / $53.73 / $101.26	Facility		$22.97	$53.73	$101.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $26.85 / $33.61	Professional		$14.37	$26.85	$33.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $42.56 / $161.88	Professional		$23.09	$42.56	$161.88
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 $28.59 / $28.59 / $28.59	Professional		$28.59	$28.59	$28.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.09 / $27.49	Professional		$11.00	$15.09	$27.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $14.29 / $24.15	Professional		$9.24	$14.29	$24.15