Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.02 / $65.26 / $227.36	Facility		$33.02	$65.26	$227.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $26.15 / $51.14	Professional		$24.07	$26.15	$51.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $92.31 / $308.49	Facility		$47.25	$92.31	$308.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.68 / $22.60 / $26.69	Professional		$18.68	$22.60	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.66 / $71.64 / $135.51	Facility		$30.66	$71.64	$135.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $32.29 / $64.04	Professional		$21.84	$32.29	$64.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $51.36 / $201.83	Professional		$29.94	$51.36	$201.83
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 $38.15 / $38.15 / $38.15	Professional		$38.15	$38.15	$38.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $20.13 / $36.69	Professional		$14.68	$20.13	$36.69
United Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $49.20 / $49.20	Facility		$49.20	$49.20	$49.20
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $19.96 / $38.49	Professional		$12.33	$19.96	$38.49