Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $41.85 / $223.08	Facility		$15.90	$41.85	$223.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.60 / $16.85	Professional		$7.02	$10.60	$16.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$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 / $145.44	Professional		$13.52	$23.19	$145.44
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 $4.86 / $7.29 / $16.55	Professional		$4.86	$7.29	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $9.00 / $22.15	Professional		$5.57	$9.00	$22.15