Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $15.85 / $32.36	Facility		$4.79	$15.85	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $39.81	Professional		$12.88	$17.38	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $34.67	Professional		$22.39	$23.99	$34.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $61.66 / $218.78	Facility		$38.02	$61.66	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $23.99	Professional		$17.78	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $44.67	Facility		$22.39	$22.39	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $37.15	Professional		$16.22	$16.22	$37.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $54.95	Professional		$26.92	$40.74	$54.95
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 $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Professional		$12.88	$12.88	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.70 / $48.98	Facility		$12.59	$25.70	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $26.30	Professional		$12.02	$15.85	$26.30