Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.67 / $99.47 / $282.22	Facility		$26.67	$99.47	$282.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $18.98 / $21.48	Professional		$15.72	$18.98	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $25.51	Professional		$12.76	$12.76	$25.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $91.50 / $220.07	Facility		$36.56	$91.50	$220.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.67 / $16.37	Professional		$3.50	$14.67	$16.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $52.02 / $98.28	Facility		$22.21	$52.02	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $26.02 / $32.53	Professional		$13.89	$26.02	$32.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $41.13 / $226.27	Professional		$22.32	$41.13	$226.27
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 $27.64 / $27.64 / $27.64	Professional		$27.64	$27.64	$27.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $14.58 / $26.58	Professional		$10.63	$14.58	$26.58
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $12.76 / $24.84	Professional		$8.93	$12.76	$24.84