Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $47.03 / $209.92	Facility		$22.94	$47.03	$209.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $20.00 / $29.16	Professional		$17.66	$20.00	$29.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.42 / $122.42 / $303.39	Facility		$31.42	$122.42	$303.39
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 / $324.11	Professional		$24.09	$40.15	$324.11
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 $8.43 / $14.57 / $28.68	Professional		$8.43	$14.57	$28.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $12.18 / $22.94	Professional		$9.63	$12.18	$22.94