Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $80.88 / $156.41	Facility		$16.85	$80.88	$156.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.58 / $13.25	Professional		$7.02	$9.58	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $7.95	Professional		$6.63	$6.63	$7.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $70.68 / $175.23	Facility		$18.14	$70.68	$175.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.14 / $10.19	Professional		$3.50	$9.14	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $32.47 / $61.05	Facility		$13.85	$32.47	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $15.43 / $20.14	Professional		$8.66	$15.43	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $23.19 / $123.95	Professional		$13.52	$23.19	$123.95
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 $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $7.29 / $16.55	Professional		$6.63	$7.29	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.94 / $18.09	Professional		$5.57	$9.94	$18.09