Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $42.79 / $179.33	Facility		$21.96	$42.79	$179.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $24.28 / $95.89	Professional		$21.42	$24.28	$95.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $46.20 / $281.45	Facility		$25.76	$46.20	$281.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.48 / $20.62	Professional		$3.50	$18.48	$20.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $65.66 / $123.59	Facility		$27.98	$65.66	$123.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $31.28 / $40.79	Professional		$17.48	$31.28	$40.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $42.85 / $125.00	Professional		$27.32	$42.85	$125.00
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 $34.81 / $34.81 / $34.81	Professional		$34.81	$34.81	$34.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $18.37 / $33.47	Professional		$13.39	$18.37	$33.47
United Facility/Professional Facility Modifier Low / Median / High Price $15.43 / $53.56 / $53.56	Facility		$15.43	$53.56	$53.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $16.07 / $31.27	Professional		$10.38	$16.07	$31.27