Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $125.22 / $1,310.59	Facility		$32.83	$125.22	$1,310.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $50.90 / $69.23	Professional		$21.50	$50.90	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $30.54 / $34.00	Professional		$15.27	$30.54	$34.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $82.32 / $267.54	Facility		$36.90	$82.32	$267.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.09 / $19.60	Professional		$3.50	$18.09	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.59 / $62.26 / $117.64	Facility		$26.59	$62.26	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $29.62 / $38.72	Professional		$16.62	$29.62	$38.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $49.22 / $162.32	Professional		$26.72	$49.22	$162.32
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 $33.09 / $33.09 / $33.09	Professional		$33.09	$33.09	$33.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $14.00 / $31.81	Professional		$12.73	$14.00	$31.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $19.55 / $31.30	Professional		$10.69	$19.55	$31.30