Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.42 / $187.00 / $731.26	Facility		$54.42	$187.00	$731.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $29.96 / $80.00	Professional		$14.58	$29.96	$80.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.95 / $39.00 / $39.00	Professional	25	$23.95	$39.00	$39.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $15.73 / $19.67	Professional		$15.73	$15.73	$19.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $100.15 / $360.30	Facility		$34.72	$100.15	$360.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $30.89 / $31.89	Professional		$20.57	$30.89	$31.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $173.00 / $195.07	Facility		$96.61	$173.00	$195.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.13 / $44.81	Professional		$14.79	$22.13	$44.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $21.31 / $61.78	Professional		$14.65	$21.31	$61.78
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 $17.32 / $17.34 / $18.80	Professional		$17.32	$17.34	$18.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $106.70 / $166.93 / $248.24	Facility		$106.70	$166.93	$248.24
United Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $25.28 / $36.08	Professional		$15.18	$25.28	$36.08