Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $61.66 / $223.87	Facility		$30.90	$61.66	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $54.95	Professional		$21.88	$26.30	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $54.95	Professional		$14.79	$17.78	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $302.00	Facility		$39.81	$79.43	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $26.92	Professional		$18.62	$22.39	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $66.07 / $134.90	Facility		$19.05	$66.07	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $64.57	Professional		$21.88	$32.36	$64.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $234.42	Professional		$30.90	$74.13	$234.42
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 $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $58.88	Facility		$13.80	$29.51	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $38.90	Professional		$12.30	$18.62	$38.90