Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $41.30 / $121.58	Facility		$19.39	$41.30	$121.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.52 / $20.14	Professional		$10.67	$16.52	$20.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.09 / $12.09 / $12.09	Professional		$12.09	$12.09	$12.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $86.75 / $266.63	Facility		$27.60	$86.75	$266.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.90 / $15.52	Professional		$3.50	$13.90	$15.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $48.21 / $92.32	Facility		$19.64	$48.21	$92.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $23.36 / $30.46	Professional		$12.08	$23.36	$30.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $32.24 / $113.75	Professional		$20.55	$32.24	$113.75
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 $26.20 / $26.20 / $26.20	Professional		$26.20	$26.20	$26.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.08 / $14.81	Professional		$7.40	$10.08	$14.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $12.09 / $21.60	Professional		$8.46	$12.09	$21.60