Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.19 / $82.41 / $185.60	Facility		$31.19	$82.41	$185.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $19.41 / $35.52	Professional		$15.21	$19.41	$35.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $17.38 / $32.60	Professional		$10.87	$17.38	$32.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $68.59 / $228.36	Facility		$31.50	$68.59	$228.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.44 / $16.73	Professional		$3.50	$15.44	$16.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.72 / $52.88 / $99.77	Facility		$22.72	$52.88	$99.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $25.03 / $33.22	Professional		$14.20	$25.03	$33.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $40.20 / $156.37	Professional		$22.82	$40.20	$156.37
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 $28.25 / $28.25 / $28.25	Professional		$28.25	$28.25	$28.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $14.91 / $27.16	Professional		$10.87	$14.91	$27.16
United Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $13.04 / $25.38	Professional		$9.13	$13.04	$25.38