Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $398.11	Facility		$18.20	$18.20	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $36.31	Professional		$15.85	$19.05	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $69.18 / $245.47	Facility		$43.65	$69.18	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $26.92	Professional		$22.91	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $23.99	Facility		$22.91	$22.91	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $41.69	Professional		$16.98	$16.98	$41.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $57.54	Professional		$30.20	$45.71	$57.54
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 $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.92	Professional		$18.62	$18.62	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $58.88	Facility		$15.14	$28.84	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $29.51	Professional		$13.80	$17.78	$29.51