Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $43.99 / $142.19	Facility		$18.98	$43.99	$142.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $19.78 / $42.39	Professional		$14.16	$19.78	$42.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.68 / $21.46	Professional		$8.53	$8.68	$21.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $206.34 / $537.04	Facility		$34.97	$206.34	$537.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.68 / $37.77	Professional		$21.05	$30.68	$37.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $31.95 / $52.97	Facility		$16.55	$31.95	$52.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $12.18 / $35.42	Professional		$9.11	$12.18	$35.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $33.07 / $88.48	Professional		$22.45	$33.07	$88.48
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 $22.67 / $23.24 / $30.71	Professional		$22.67	$23.24	$30.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $32.34 / $34.72	Professional		$32.11	$32.34	$34.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $26.36 / $60.52	Professional		$15.20	$26.36	$60.52