Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $30.32 / $142.80	Facility		$15.25	$30.32	$142.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $11.98 / $23.68	Professional		$10.89	$11.98	$23.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $17.93	Professional		$7.97	$7.97	$17.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.84 / $57.07 / $137.38	Facility		$22.84	$57.07	$137.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.16 / $10.23	Professional		$3.50	$9.16	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $32.40 / $61.05	Facility		$13.88	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $16.11 / $20.41	Professional		$8.67	$16.11	$20.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.94 / $25.69 / $113.75	Professional		$13.94	$25.69	$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 $17.26 / $17.26 / $17.26	Professional		$17.26	$17.26	$17.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $9.11 / $16.60	Professional		$6.64	$9.11	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $9.94 / $13.68	Professional		$5.58	$9.94	$13.68