Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.35 / $80.14 / $807.99	Facility		$31.35	$80.14	$807.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $17.94 / $51.72	Professional		$17.23	$17.94	$51.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $14.14 / $35.36	Professional		$11.79	$14.14	$35.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.99 / $63.11 / $234.38	Facility		$32.99	$63.11	$234.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $16.26 / $18.14	Professional		$3.50	$16.26	$18.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.81 / $56.38 / $108.70	Facility		$21.81	$56.38	$108.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $28.91 / $36.14	Professional		$12.92	$28.91	$36.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $37.71 / $204.44	Professional		$23.57	$37.71	$204.44
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 $30.64 / $30.64 / $30.64	Professional		$30.64	$30.64	$30.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $12.96 / $29.46	Professional		$8.66	$12.96	$29.46
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $14.14 / $24.28	Professional		$9.90	$14.14	$24.28