Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $128.00 / $232.05	Facility		$32.39	$128.00	$232.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $19.89 / $29.39	Professional		$18.32	$19.89	$29.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $30.00 / $30.16	Professional		$11.17	$30.00	$30.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $71.34 / $234.78	Facility		$35.96	$71.34	$234.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $18.07 / $26.69	Professional		$15.41	$18.07	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $54.59 / $102.75	Facility		$23.66	$54.59	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $27.26 / $55.08	Professional		$18.60	$27.26	$55.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $43.22 / $200.00	Professional		$23.46	$43.22	$200.00
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 $29.04 / $29.04 / $29.04	Professional		$29.04	$29.04	$29.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $13.57 / $32.34	Professional		$6.78	$13.57	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $16.73 / $31.21	Professional		$9.38	$16.73	$31.21