Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $97.11 / $195.30	Facility		$16.29	$97.11	$195.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.09 / $23.64	Professional		$11.10	$12.09	$23.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $18.28	Professional		$6.77	$6.77	$18.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $58.30 / $140.22	Facility		$23.28	$58.30	$140.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.61 / $10.43	Professional		$3.50	$9.61	$10.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $33.26 / $62.54	Facility		$14.16	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $16.52 / $20.81	Professional		$8.85	$16.52	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $26.21 / $132.21	Professional		$14.22	$26.21	$132.21
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 $17.60 / $17.60 / $17.60	Professional		$17.60	$17.60	$17.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.97 / $7.45 / $9.95	Professional		$4.97	$7.45	$9.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $9.44 / $13.54	Professional		$5.69	$9.44	$13.54