Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $213.80	Facility		$19.95	$41.69	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $117.49	Professional		$17.78	$35.48	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $24.55	Professional		$16.22	$20.42	$24.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $147.91 / $446.68	Facility		$70.79	$147.91	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $38.02	Professional		$19.95	$31.62	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $57.54	Professional		$19.95	$28.84	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $144.54	Professional		$17.78	$30.90	$144.54
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 $22.39 / $22.39 / $23.44	Professional		$22.39	$22.39	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $52.48	Professional		$22.91	$33.11	$52.48