Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $181.97	Facility		$14.13	$14.13	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $22.91	Professional		$10.00	$14.13	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $10.72 / $27.54	Professional		$4.27	$10.72	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $47.86	Professional		$33.88	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $19.95	Professional		$8.32	$8.32	$19.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.15 / $56.23	Professional		$25.12	$37.15	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $31.62 / $38.02	Professional		$8.32	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.62 / $28.18	Professional		$15.14	$18.62	$28.18