Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $48.90 / $225.60	Facility		$24.58	$48.90	$225.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $19.13 / $24.62	Professional		$14.97	$19.13	$24.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.71 / $12.85 / $32.11	Professional		$10.71	$12.85	$32.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.04 / $68.59 / $225.08	Facility		$31.04	$68.59	$225.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $15.21 / $16.48	Professional		$3.50	$15.21	$16.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $52.02 / $98.28	Facility		$22.36	$52.02	$98.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $26.02 / $32.82	Professional		$13.98	$26.02	$32.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $41.43 / $217.72	Professional		$22.48	$41.43	$217.72
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 $27.83 / $27.83 / $27.83	Professional		$27.83	$27.83	$27.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $10.71 / $15.73	Professional		$6.19	$10.71	$15.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $13.64 / $25.00	Professional		$8.99	$13.64	$25.00