Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $39.59 / $39.59	Facility		$24.89	$39.59	$39.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $24.89 / $34.03	Professional		$22.13	$24.89	$34.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $21.15 / $34.13	Professional		$20.86	$21.15	$34.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.44 / $107.60 / $497.42	Facility		$39.44	$107.60	$497.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.84 / $41.39 / $52.03	Professional		$26.84	$41.39	$52.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $27.80	Facility		$27.80	$27.80	$27.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $33.74 / $53.08	Professional		$24.56	$33.74	$53.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $36.09 / $70.70	Professional		$25.23	$36.09	$70.70
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 $29.39 / $29.93 / $31.46	Professional		$29.39	$29.93	$31.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $32.34 / $35.57	Professional		$30.25	$32.34	$35.57
United Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $28.78 / $38.65	Facility		$25.62	$28.78	$38.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.69 / $29.56 / $49.95	Professional		$22.69	$29.56	$49.95