Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $26.42 / $224.74	Facility		$14.06	$26.42	$224.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $27.93 / $48.44	Professional		$22.62	$27.93	$48.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $35.00 / $48.37	Professional		$26.41	$35.00	$48.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.51 / $138.75 / $181.30	Facility		$110.51	$138.75	$181.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.63 / $39.53	Professional		$30.38	$36.63	$39.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $35.24	Professional		$24.70	$24.70	$35.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.78 / $32.13 / $107.80	Professional		$23.78	$32.13	$107.80
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 $30.33 / $31.28 / $36.61	Professional		$30.33	$31.28	$36.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $42.24	Professional		$32.34	$32.34	$42.24
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $37.64 / $57.51	Professional		$27.29	$37.64	$57.51