Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $90.30 / $252.00	Facility		$20.41	$90.30	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $29.56 / $41.44	Professional		$15.20	$29.56	$41.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $24.00 / $27.21	Professional		$10.89	$24.00	$27.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $76.83 / $187.82	Facility		$30.75	$76.83	$187.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.52 / $13.97	Professional		$3.50	$12.52	$13.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $44.35 / $83.39	Facility		$18.96	$44.35	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $22.30 / $27.88	Professional		$11.85	$22.30	$27.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $35.10 / $156.52	Professional		$19.05	$35.10	$156.52
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 $23.58 / $23.58 / $23.58	Professional		$23.58	$23.58	$23.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $12.44 / $22.68	Professional		$9.07	$12.44	$22.68
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $10.88 / $18.68	Professional		$7.62	$10.88	$18.68