Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $39.47 / $59.22	Facility		$17.00	$39.47	$59.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $17.64 / $32.28	Professional		$15.79	$17.64	$32.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $11.84 / $11.84	Professional		$11.84	$11.84	$11.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $83.60 / $204.33	Facility		$33.54	$83.60	$204.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.62 / $15.20	Professional		$3.50	$13.62	$15.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $48.62 / $90.83	Facility		$20.64	$48.62	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $22.94 / $29.94	Professional		$12.90	$22.94	$29.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $38.19 / $193.76	Professional		$20.73	$38.19	$193.76
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 $25.66 / $25.66 / $25.66	Professional		$25.66	$25.66	$25.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $13.54 / $24.68	Professional		$9.86	$13.54	$24.68
United Facility/Professional Professional Modifier Low / Median / High Price $8.28 / $14.80 / $23.05	Professional		$8.28	$14.80	$23.05