Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $38.07 / $103.70	Facility		$20.14	$38.07	$103.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $21.53 / $63.53	Professional		$17.53	$21.53	$63.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $24.26	Professional		$16.05	$16.05	$24.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $180.23 / $329.89	Facility		$105.19	$180.23	$329.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $29.08 / $31.31	Professional		$20.96	$29.08	$31.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.80 / $166.26 / $353.73	Facility		$29.80	$166.26	$353.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $28.97 / $86.44	Professional		$19.66	$28.97	$86.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $27.85 / $228.27	Professional		$18.87	$27.85	$228.27
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 $21.97 / $22.98 / $25.12	Professional		$21.97	$22.98	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $32.34 / $32.34	Professional		$24.15	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $193.25 / $338.27 / $494.40	Facility		$193.25	$338.27	$494.40
United Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $39.09 / $81.01	Professional		$19.55	$39.09	$81.01