Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $40.27 / $126.63	Facility		$19.35	$40.27	$126.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $17.46 / $51.34	Professional		$15.48	$17.46	$51.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Professional		$11.61	$11.61	$11.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $61.87 / $203.38	Facility		$28.52	$61.87	$203.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.35 / $14.90	Professional		$3.50	$13.35	$14.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $46.90 / $89.34	Facility		$20.23	$46.90	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $23.54 / $29.61	Professional		$12.64	$23.54	$29.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $33.86 / $126.37	Professional		$19.35	$33.86	$126.37
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 $25.16 / $25.16 / $25.16	Professional		$25.16	$25.16	$25.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $10.64 / $24.19	Professional		$9.68	$10.64	$24.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.33 / $19.93	Professional		$8.13	$12.33	$19.93