Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.11 / $323.59	Facility		$19.05	$33.11	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.84 / $112.20	Professional		$17.38	$28.84	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $34.67	Professional		$13.80	$19.50	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $323.59	Facility		$104.71	$190.55	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $31.62	Professional		$19.95	$26.92	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $239.88 / $354.81	Facility		$165.96	$239.88	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $87.10	Professional		$19.50	$28.84	$87.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $263.03	Professional		$18.62	$30.20	$263.03
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 $21.88 / $22.91 / $25.12	Professional		$21.88	$22.91	$25.12
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 $199.53 / $354.81 / $467.74	Facility		$199.53	$354.81	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $69.18	Professional		$18.62	$29.51	$69.18