Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $107.06 / $193.38	Facility		$19.23	$107.06	$193.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.65 / $14.67	Professional		$7.02	$9.65	$14.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $6.63 / $17.89	Professional		$6.63	$6.63	$17.89
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 / $9.41 / $10.19	Professional		$3.50	$9.41	$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 / $110.85	Professional		$13.52	$23.19	$110.85
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 / $9.09 / $16.55	Professional		$6.63	$9.09	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.93 / $18.09	Professional		$5.57	$9.93	$18.09