Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.91 / $132.05 / $307.83	Facility		$24.91	$132.05	$307.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $9.93 / $26.78	Professional		$8.02	$9.93	$26.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $6.70 / $16.07	Professional		$3.62	$6.70	$16.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $64.90 / $182.72	Facility		$23.43	$64.90	$182.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.71 / $13.39	Professional		$3.50	$10.71	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $40.01 / $61.05	Facility		$13.59	$40.01	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $18.45 / $29.67	Professional		$10.85	$18.45	$29.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $25.91 / $167.37	Professional		$14.06	$25.91	$167.37
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 $17.41 / $17.41 / $17.41	Professional		$17.41	$17.41	$17.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $7.36 / $16.73	Professional		$4.91	$7.36	$16.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.02 / $13.79	Professional		$5.62	$8.02	$13.79