Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $34.59 / $107.90	Facility		$20.75	$34.59	$107.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $17.64 / $18.62	Professional		$13.16	$17.64	$18.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $92.56 / $267.66	Facility		$27.72	$92.56	$267.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.80 / $15.58	Professional		$3.50	$14.80	$15.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $49.47 / $93.81	Facility		$21.15	$49.47	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $24.78 / $30.98	Professional		$13.22	$24.78	$30.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $36.75 / $167.46	Professional		$21.25	$36.75	$167.46
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 $26.31 / $26.31 / $26.31	Professional		$26.31	$26.31	$26.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $13.88 / $25.30	Professional		$2.75	$13.88	$25.30
United Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $13.16 / $31.50	Professional		$8.50	$13.16	$31.50