Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $20.16 / $207.97	Facility		$20.16	$20.16	$207.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $20.16 / $27.39	Professional		$16.86	$20.16	$27.39
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $25.00 / $25.00 / $25.00	Professional	CQ	$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $19.16 / $23.45	Professional		$14.94	$19.16	$23.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $216.28 / $431.18	Facility		$141.12	$216.28	$431.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $30.87 / $31.36	Professional		$23.10	$30.87	$31.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $173.06 / $366.05	Facility		$22.69	$173.06	$366.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $26.53 / $39.39	Professional		$18.53	$26.53	$39.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $29.28 / $58.33	Professional		$20.13	$29.28	$58.33
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 $23.79 / $24.02 / $27.08	Professional		$23.79	$24.02	$27.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $30.62 / $32.34	Professional		$19.73	$30.62	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $23.93 / $36.72	Professional		$17.97	$23.93	$36.72