Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $54.31 / $222.31	Facility		$24.97	$54.31	$222.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $18.77 / $37.74	Professional		$16.02	$18.77	$37.74
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 $35.79 / $89.39 / $215.55	Facility		$35.79	$89.39	$215.55
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 $21.57 / $37.67 / $185.59	Professional		$21.57	$37.67	$185.59
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 $7.64 / $11.45 / $26.01	Professional		$7.64	$11.45	$26.01
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $13.95 / $24.31	Professional		$8.74	$13.95	$24.31