Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $89.09 / $702.47	Facility		$23.12	$89.09	$702.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.63 / $76.25 / $161.37	Professional		$15.63	$76.25	$161.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $8.97 / $21.52	Professional		$8.97	$8.97	$21.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $75.95 / $185.63	Facility		$30.83	$75.95	$185.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.37 / $13.81	Professional		$3.50	$12.37	$13.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $43.50 / $81.90	Facility		$18.73	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $20.86 / $27.61	Professional		$11.72	$20.86	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.82 / $31.38 / $127.25	Professional		$18.82	$31.38	$127.25
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 $23.31 / $23.31 / $23.31	Professional		$23.31	$23.31	$23.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.86 / $22.41	Professional		$6.58	$9.86	$22.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $11.55 / $18.47	Professional		$7.53	$11.55	$18.47