Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $57.33 / $225.28	Facility		$27.26	$57.33	$225.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $24.30 / $41.62	Professional		$17.05	$24.30	$41.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $28.09	Professional		$12.49	$12.49	$28.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $65.86 / $218.67	Facility		$29.76	$65.86	$218.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $14.36 / $16.02	Professional		$3.50	$14.36	$16.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.75 / $51.16 / $95.30	Facility		$21.75	$51.16	$95.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $24.19 / $32.02	Professional		$13.59	$24.19	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $37.67 / $152.05	Professional		$21.62	$37.67	$152.05
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 $27.05 / $27.05 / $27.05	Professional		$27.05	$27.05	$27.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $14.28 / $26.01	Professional		$10.93	$14.28	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.70 / $20.81	Professional		$8.74	$14.70	$20.81