Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $119.45 / $223.36	Facility		$26.85	$119.45	$223.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.34 / $14.41 / $29.38	Professional		$7.34	$14.41	$29.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $20.16	Professional		$8.40	$8.40	$20.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $83.81 / $229.14	Facility		$29.40	$83.81	$229.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.44 / $16.80	Professional		$3.50	$13.44	$16.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $40.92 / $77.43	Facility		$17.55	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $20.65 / $25.81	Professional		$12.16	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $30.41 / $153.84	Professional		$17.64	$30.41	$153.84
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 $21.84 / $21.84 / $21.84	Professional		$21.84	$21.84	$21.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.52 / $21.00	Professional		$8.40	$11.52	$21.00
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $10.08 / $19.62	Professional		$7.06	$10.08	$19.62