Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.74 / $92.23 / $234.82	Facility		$24.74	$92.23	$234.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $14.85 / $30.88	Professional		$12.77	$14.85	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $22.99 / $22.99	Professional		$10.22	$22.99	$22.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $59.18 / $238.65	Facility		$27.28	$59.18	$238.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.11 / $17.03	Professional		$3.50	$13.11	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $41.78 / $78.92	Facility		$17.79	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $20.65 / $26.01	Professional		$11.13	$20.65	$26.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.88 / $32.96 / $202.10	Professional		$17.88	$32.96	$202.10
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 $22.14 / $22.14 / $22.14	Professional		$22.14	$22.14	$22.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $11.65 / $21.29	Professional		$8.52	$11.65	$21.29
United Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $34.06 / $34.06	Facility		$9.81	$34.06	$34.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.85 / $19.88	Professional		$7.15	$10.85	$19.88