Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $80.86 / $165.76	Facility		$26.00	$80.86	$165.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $18.86 / $39.00	Professional		$16.64	$18.86	$39.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $12.49 / $28.09	Professional		$10.41	$12.49	$28.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $65.86 / $218.67	Facility		$30.17	$65.86	$218.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.79 / $16.02	Professional		$3.50	$14.79	$16.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $51.16 / $95.30	Facility		$21.75	$51.16	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $25.19 / $32.02	Professional		$13.59	$25.19	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $40.25 / $147.80	Professional		$21.85	$40.25	$147.80
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 $27.05 / $27.05 / $27.05	Professional		$27.05	$27.05	$27.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $11.45 / $15.29	Professional		$7.64	$11.45	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.15 / $24.31	Professional		$8.74	$14.15	$24.31