Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $40.19 / $196.20	Facility		$17.03	$40.19	$196.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $12.69 / $25.38	Professional		$11.66	$12.69	$25.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.74 / $19.67	Professional		$7.29	$8.74	$19.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $61.71 / $150.80	Facility		$24.46	$61.71	$150.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.35 / $11.22	Professional		$3.50	$10.35	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $35.74 / $67.01	Facility		$15.22	$35.74	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $17.76 / $22.41	Professional		$9.51	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $28.17 / $137.99	Professional		$15.30	$28.17	$137.99
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 $18.94 / $18.94 / $18.94	Professional		$18.94	$18.94	$18.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $9.30 / $18.21	Professional		$5.35	$9.30	$18.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.44 / $14.57	Professional		$6.12	$9.44	$14.57