Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $94.67 / $433.39	Facility		$30.53	$94.67	$433.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $64.92 / $88.72	Professional		$21.91	$64.92	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $34.00 / $38.18	Professional		$11.46	$34.00	$38.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.48 / $107.01 / $263.41	Facility		$41.48	$107.01	$263.41
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 / $47.08 / $165.07	Professional		$26.72	$47.08	$165.07
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 $9.34 / $13.33 / $31.81	Professional		$9.34	$13.33	$31.81
United Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $17.46 / $25.45	Facility		$17.46	$17.46	$25.45
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $16.54 / $29.72	Professional		$10.69	$16.54	$29.72