Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $99.35 / $327.36	Facility		$30.85	$99.35	$327.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $19.30 / $35.33	Professional		$10.22	$19.30	$35.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $12.78 / $25.00	Professional		$9.66	$12.78	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.71 / $60.64 / $163.96	Facility		$31.71	$60.64	$163.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $14.87 / $15.32	Professional		$13.32	$14.87	$15.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.27 / $46.18 / $89.34	Facility		$20.27	$46.18	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $21.38 / $28.10	Professional		$10.16	$21.38	$28.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $30.90 / $120.00	Professional		$19.30	$30.90	$120.00
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 $25.10 / $25.10 / $25.10	Professional		$25.10	$25.10	$25.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.25 / $24.14	Professional		$9.24	$13.25	$24.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $12.55 / $19.89	Professional		$8.11	$12.55	$19.89