Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $29.17 / $243.81	Facility		$15.48	$29.17	$243.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $17.35 / $28.58	Professional		$9.31	$17.35	$28.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $15.91 / $15.91	Professional		$15.91	$15.91	$15.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $150.72 / $301.81	Facility		$70.45	$150.72	$301.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $23.41 / $44.64	Professional		$10.89	$23.41	$44.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.98 / $15.41 / $25.56	Facility		$7.98	$15.41	$25.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $19.73 / $32.79	Professional		$10.42	$19.73	$32.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $25.79 / $60.35	Professional		$12.33	$25.79	$60.35
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 $10.66 / $11.41 / $23.95	Professional		$10.66	$11.41	$23.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $32.34 / $32.34	Professional		$25.05	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $25.22 / $43.22	Professional		$17.47	$25.22	$43.22