Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $55.67 / $918.44	Facility		$24.37	$55.67	$918.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $21.25 / $42.50	Professional		$18.76	$21.25	$42.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $76.83 / $256.07	Facility		$35.33	$76.83	$256.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.82 / $18.76	Professional		$3.50	$16.82	$18.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $59.71 / $111.68	Facility		$25.46	$59.71	$111.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $29.74 / $37.22	Professional		$15.92	$29.74	$37.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $45.40 / $190.70	Professional		$25.59	$45.40	$190.70
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 $31.68 / $31.68 / $31.68	Professional		$31.68	$31.68	$31.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $16.72 / $30.46	Professional		$12.19	$16.72	$30.46
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $15.52 / $25.10	Professional		$10.24	$15.52	$25.10