Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.71 / $223.30	Facility		$18.05	$39.71	$223.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.44 / $15.63 / $20.88	Professional		$14.44	$15.63	$20.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Professional		$8.11	$8.11	$8.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.75 / $76.45 / $186.79	Facility		$30.75	$76.45	$186.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.45 / $13.90	Professional		$3.50	$12.45	$13.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $44.35 / $83.39	Facility		$18.86	$44.35	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.79 / $21.89 / $27.61	Professional		$11.79	$21.89	$27.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $34.93 / $240.56	Professional		$18.95	$34.93	$240.56
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 $23.47 / $23.47 / $23.47	Professional		$23.47	$23.47	$23.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $12.38 / $22.56	Professional		$6.63	$12.38	$22.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $11.50 / $18.05	Professional		$7.58	$11.50	$18.05