Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $49.04 / $93.15	Facility		$24.58	$49.04	$93.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $23.87 / $30.80	Professional		$20.62	$23.87	$30.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $36.15	Professional		$16.07	$16.07	$36.15
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 / $19.59 / $20.62	Professional		$3.50	$19.59	$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 / $32.63 / $40.82	Professional		$17.48	$32.63	$40.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $46.87 / $205.05	Professional		$26.78	$46.87	$205.05
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 $9.83 / $14.73 / $33.47	Professional		$9.83	$14.73	$33.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $16.07 / $31.27	Professional		$10.46	$16.07	$31.27