Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.39 / $40.74	Facility		$21.88	$22.39	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $36.31	Professional		$14.79	$22.91	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $436.52	Facility		$85.11	$229.09	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $35.48	Facility		$25.12	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $42.66	Professional		$21.38	$21.38	$42.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $60.26	Professional		$33.88	$39.81	$60.26
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 $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $83.18	Professional		$58.88	$58.88	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $14.13 / $40.74	Facility		$1.70	$14.13	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $32.36	Professional		$13.18	$19.95	$32.36