Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $79.43	Facility		$32.36	$47.86	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $58.88	Professional		$30.20	$33.11	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $35.48	Professional		$21.88	$26.92	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $416.87	Facility		$57.54	$100.00	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $29.51 / $85.11	Professional		$14.79	$29.51	$85.11
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 $17.38 / $17.78 / $19.05	Professional		$17.38	$17.78	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $27.54	Professional		$17.38	$17.38	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $60.26 / $60.26	Facility		$44.67	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $38.02	Professional		$31.62	$37.15	$38.02