Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $43.65	Facility		$19.95	$39.81	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $64.57	Professional		$20.89	$26.92	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.78 / $33.11	Professional		$16.60	$17.78	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $48.98 / $131.83	Facility		$25.12	$48.98	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $43.65	Professional		$37.15	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $44.67	Facility		$33.11	$43.65	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $57.54	Professional		$23.44	$33.88	$57.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $100.00	Professional		$23.99	$39.81	$100.00
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 $27.54 / $28.18 / $32.36	Professional		$27.54	$28.18	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Facility		$21.88	$21.88	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $47.86	Professional		$22.39	$29.51	$47.86