Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.78 / $46.66 / $95.85	Facility		$26.78	$46.66	$95.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $18.04 / $28.39	Professional		$15.64	$18.04	$28.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $56.12 / $237.48	Facility		$28.07	$56.12	$237.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.83 / $15.44	Professional		$3.50	$13.83	$15.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $48.62 / $92.32	Facility		$25.34	$48.62	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $24.52 / $38.36	Professional		$10.26	$24.52	$38.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $40.10 / $124.60	Professional		$22.06	$40.10	$124.60
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 $26.07 / $26.07 / $26.07	Professional		$26.07	$26.07	$26.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $27.27 / $30.08	Professional		$8.82	$27.27	$30.08
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.22 / $23.42	Professional		$8.42	$13.22	$23.42