Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.86 / $103.08 / $179.20	Facility		$29.86	$103.08	$179.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $18.87 / $34.01	Professional		$17.05	$18.87	$34.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $24.97 / $28.09	Professional		$10.41	$24.97	$28.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $65.86 / $218.67	Facility		$30.17	$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 / $25.19 / $32.02	Professional		$13.59	$25.19	$32.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $40.26 / $164.76	Professional		$21.85	$40.26	$164.76
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 $10.41 / $11.45 / $26.01	Professional		$10.41	$11.45	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $14.70 / $21.43	Professional		$8.74	$14.70	$21.43