Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $85.02 / $211.20	Facility		$29.77	$85.02	$211.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.78 / $29.75	Professional		$13.50	$21.78	$29.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $20.38 / $38.21	Professional		$12.74	$20.38	$38.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.63 / $107.07 / $263.67	Facility		$42.63	$107.07	$263.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.57 / $19.61	Professional		$3.50	$17.57	$19.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $62.26 / $117.64	Facility		$26.61	$62.26	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $30.98 / $38.82	Professional		$16.63	$30.98	$38.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $47.12 / $184.00	Professional		$26.74	$47.12	$184.00
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 $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $17.47 / $31.84	Professional		$12.74	$17.47	$31.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.28 / $26.23	Professional		$10.70	$15.28	$26.23