Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $95.49 / $368.61	Facility		$25.69	$95.49	$368.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $14.78 / $33.88	Professional		$9.01	$14.78	$33.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $15.00 / $22.87	Professional		$8.47	$15.00	$22.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.80 / $37.53 / $175.44	Facility		$20.80	$37.53	$175.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.69 / $13.04	Professional		$3.50	$11.69	$13.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $41.58 / $77.43	Facility		$17.70	$41.58	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $19.61 / $25.81	Professional		$11.88	$19.61	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $29.65 / $213.16	Professional		$17.79	$29.65	$213.16
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 $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $10.62 / $21.18	Professional		$6.22	$10.62	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $19.78	Professional		$7.11	$10.16	$19.78