Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $194.98 / $549.54	Facility		$42.66	$194.98	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $39.81	Professional		$19.05	$26.92	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $11.48	Professional		$7.08	$10.00	$11.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $147.91 / $478.63	Facility		$40.74	$147.91	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $51.29	Professional		$33.88	$36.31	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $61.66 / $125.89	Facility		$0.66	$61.66	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $30.20 / $38.02	Professional		$12.59	$30.20	$38.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $186.21	Professional		$12.02	$19.05	$186.21
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 $14.13 / $14.45 / $15.85	Professional		$14.13	$14.45	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $4.57 / $4.68	Professional		$2.29	$4.57	$4.68
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $144.54 / $407.38	Facility		$15.14	$144.54	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $30.20	Professional		$12.59	$15.85	$30.20