Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $31.28 / $27,133.32	Facility		$22.21	$31.28	$27,133.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.54 / $26.87	Professional		$22.21	$22.54	$26.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $22.54 / $22.54	Professional		$22.21	$22.54	$22.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.70 / $84.88 / $404.82	Facility		$55.70	$84.88	$404.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $26.27 / $26.27	Professional		$23.26	$26.27	$26.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $22.54 / $22.54	Facility		$22.54	$22.54	$22.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $26.10	Professional		$22.54	$22.54	$26.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $35.95 / $64.44	Professional		$22.54	$35.95	$64.44
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 $29.30 / $29.30 / $29.30	Professional		$29.30	$29.30	$29.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $30.11 / $32.27	Professional		$21.51	$30.11	$32.27
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.84 / $25.61	Professional		$22.54	$23.84	$25.61