Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $42.28 / $232.98	Facility		$20.83	$42.28	$232.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.66 / $17.71 / $18.69	Professional		$16.66	$17.71	$18.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $86.07 / $210.39	Facility		$33.11	$86.07	$210.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.02 / $15.65	Professional		$3.50	$14.02	$15.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $49.47 / $93.81	Facility		$21.23	$49.47	$93.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $24.78 / $31.21	Professional		$13.27	$24.78	$31.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.34 / $39.31 / $168.49	Professional		$21.34	$39.31	$168.49
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 $26.42 / $26.42 / $26.42	Professional		$26.42	$26.42	$26.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $13.94 / $25.40	Professional		$9.39	$13.94	$25.40
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.94 / $20.93	Professional		$8.52	$12.94	$20.93