Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $194.98 / $194.98	Facility		$19.05	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $41.69	Professional		$16.98	$19.05	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $38.90	Professional		$19.05	$33.11	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $131.83	Facility		$31.62	$31.62	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $16.98	Professional		$14.45	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $47.86 / $81.28	Professional		$20.89	$47.86	$81.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $70.79 / $89.13	Professional		$34.67	$70.79	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $269.15 / $354.81	Facility		$25.12	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $95.50	Professional		$44.67	$61.66	$95.50