Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $49.28 / $81.02	Facility		$26.72	$49.28	$81.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $21.64 / $45.36	Professional		$10.42	$21.64	$45.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.43 / $15.27 / $30.54	Professional		$12.43	$15.27	$30.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $107.01 / $371.02	Facility		$33.59	$107.01	$371.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $17.55 / $19.60	Professional		$3.50	$17.55	$19.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.87 / $117.64	Facility		$17.78	$60.87	$117.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $29.32 / $37.24	Professional		$11.65	$29.32	$37.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.72 / $44.54 / $150.00	Professional		$26.72	$44.54	$150.00
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 $33.09 / $33.09 / $33.09	Professional		$33.09	$33.09	$33.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $17.46 / $31.81	Professional		$12.73	$17.46	$31.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $31.30	Professional		$10.69	$15.27	$31.30