Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $25.70 / $339.59	Facility		$17.09	$25.70	$339.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $24.95 / $87.00	Professional		$13.49	$24.95	$87.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $20.07 / $139.88	Professional	25	$20.07	$20.07	$139.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $14.78 / $19.36	Professional		$11.69	$14.78	$19.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.80 / $109.12 / $417.82	Facility		$52.80	$109.12	$417.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $30.49 / $31.28	Professional		$16.39	$30.49	$31.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $23.04 / $43.25	Professional		$14.95	$23.04	$43.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $22.34 / $102.53	Professional		$14.78	$22.34	$102.53
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 $17.07 / $17.51 / $19.21	Professional		$17.07	$17.51	$19.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.18 / $32.34 / $32.34	Professional		$18.18	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $23.62 / $39.64	Professional		$15.64	$23.62	$39.64