Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $31.38 / $210.36	Facility		$15.30	$31.38	$210.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $12.55 / $19.45	Professional		$7.65	$12.55	$19.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.18 / $9.18 / $9.18	Professional		$9.18	$9.18	$9.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $53.73 / $143.00	Facility		$20.67	$53.73	$143.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.56 / $11.78	Professional		$3.50	$10.56	$11.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.63 / $36.61 / $69.98	Facility		$12.63	$36.61	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $17.52 / $23.24	Professional		$7.78	$17.52	$23.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $24.48 / $100.00	Professional		$16.07	$24.48	$100.00
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 $19.89 / $19.89 / $19.89	Professional		$19.89	$19.89	$19.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.30 / $19.13	Professional		$5.62	$9.30	$19.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $9.18 / $15.76	Professional		$6.43	$9.18	$15.76