Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.83 / $97.35 / $198.36	Facility		$36.83	$97.35	$198.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $20.99 / $29.73	Professional		$12.76	$20.99	$29.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $12.04 / $32.00	Professional		$6.50	$12.04	$32.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $149.11 / $413.69	Facility		$32.97	$149.11	$413.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $18.54 / $24.08	Professional		$3.50	$18.54	$24.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $59.39 / $110.19	Facility		$26.24	$59.39	$110.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $29.32 / $36.65	Professional		$15.73	$29.32	$36.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $42.14 / $156.52	Professional		$24.56	$42.14	$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 $31.30 / $31.30 / $31.30	Professional		$31.30	$31.30	$31.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $16.93 / $57.25	Professional		$12.04	$16.93	$57.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $15.34 / $24.80	Professional		$10.11	$15.34	$24.80