Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $60.32 / $469.64	Facility		$29.16	$60.32	$469.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $20.50 / $40.15	Professional		$17.66	$20.50	$40.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $11.47 / $13.76	Professional		$11.47	$11.47	$13.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.20 / $46.65 / $241.05	Facility		$27.20	$46.65	$241.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.83 / $17.66	Professional		$3.50	$15.83	$17.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.97 / $56.28 / $105.72	Facility		$23.97	$56.28	$105.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $28.08 / $35.22	Professional		$14.99	$28.08	$35.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $40.15 / $232.32	Professional		$24.09	$40.15	$232.32
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 $29.82 / $29.82 / $29.82	Professional		$29.82	$29.82	$29.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.62 / $28.68	Professional		$7.56	$12.62	$28.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.76 / $26.79	Professional		$9.63	$13.76	$26.79