Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.64 / $122.51 / $281.82	Facility		$31.64	$122.51	$281.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $23.76 / $30.86	Professional		$15.42	$23.76	$30.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.66 / $133.38 / $408.19	Facility		$41.66	$133.38	$408.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $21.29 / $23.76	Professional		$3.50	$21.29	$23.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $73.81 / $141.46	Facility		$25.30	$73.81	$141.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $35.52 / $46.98	Professional		$15.72	$35.52	$46.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $49.38 / $243.08	Professional		$31.48	$49.38	$243.08
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 $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $16.97 / $38.58	Professional		$11.34	$16.97	$38.58
United Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $16.97 / $32.43	Professional		$10.97	$16.97	$32.43