Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $35.48 / $91.20	Facility		$9.77	$35.48	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $66.07	Professional		$20.89	$28.84	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $29.51	Professional		$15.14	$23.44	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $93.33	Facility		$30.90	$45.71	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.90 / $69.18	Professional		$23.44	$30.90	$69.18
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 $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $37.15 / $37.15	Facility		$22.39	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $25.12	Professional		$20.89	$25.12	$25.12