Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $41.75 / $88.94	Facility		$23.93	$41.75	$88.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $25.77 / $35.38	Professional		$25.76	$25.77	$35.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $23.93 / $25.77	Professional		$23.93	$23.93	$25.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $133.99 / $639.03	Facility		$87.92	$133.99	$639.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $30.08 / $30.08	Professional		$24.59	$30.08	$30.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $25.77 / $25.77	Facility		$25.77	$25.77	$25.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $25.77 / $32.33	Professional		$25.77	$25.77	$32.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $68.70 / $162.28	Professional		$25.77	$68.70	$162.28
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 $33.50 / $33.50 / $33.50	Professional		$33.50	$33.50	$33.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $37.72 / $40.40	Professional		$26.94	$37.72	$40.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.77 / $27.32 / $30.41	Professional		$25.77	$27.32	$30.41