Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $86.42 / $223.20	Facility		$26.99	$86.42	$223.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.47 / $21.23	Professional		$13.80	$18.47	$21.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $12.74	Professional		$10.62	$10.62	$12.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $67.25 / $223.17	Facility		$31.00	$67.25	$223.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.65 / $16.35	Professional		$3.50	$14.65	$16.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $52.02 / $98.28	Facility		$22.18	$52.02	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $26.02 / $32.53	Professional		$13.87	$26.02	$32.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $39.54 / $200.00	Professional		$22.29	$39.54	$200.00
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 $27.60 / $27.60 / $27.60	Professional		$27.60	$27.60	$27.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $14.56 / $26.54	Professional		$7.80	$14.56	$26.54
United Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $22.29 / $52.44	Facility		$21.23	$22.29	$52.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.52 / $21.87	Professional		$8.92	$13.52	$21.87