Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $58.31 / $113.82	Facility		$28.72	$58.31	$113.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $22.24 / $43.42	Professional		$18.88	$22.24	$43.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $82.32 / $268.35	Facility		$37.20	$82.32	$268.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.14 / $19.66	Professional		$3.50	$18.14	$19.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $62.26 / $117.64	Facility		$26.68	$62.26	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $30.98 / $39.22	Professional		$16.68	$30.98	$39.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $43.28 / $170.93	Professional		$25.53	$43.28	$170.93
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 $33.19 / $33.19 / $33.19	Professional		$33.19	$33.19	$33.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $12.77 / $31.91	Professional		$5.04	$12.77	$31.91
United Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $42.80 / $42.80	Facility		$42.80	$42.80	$42.80
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.32 / $25.53	Professional		$10.72	$15.32	$25.53