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 $15.14 / $19.05 / $23.99	Professional		$15.14	$19.05	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $4.27	Professional		$3.80	$3.80	$4.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $47.86	Facility		$46.77	$46.77	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.02 / $15.14	Professional		$6.17	$12.02	$15.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $52.48	Professional		$19.05	$37.15	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $100.00 / $128.82	Facility		$9.77	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $11.48	Professional		$5.13	$7.24	$11.48