Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $30.44 / $190.24	Facility		$15.22	$30.44	$190.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $11.94 / $23.64	Professional		$10.87	$11.94	$23.64
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 $22.65 / $57.01 / $137.12	Facility		$22.65	$57.01	$137.12
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 / $32.40 / $61.05	Facility		$13.85	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $16.11 / $20.41	Professional		$8.66	$16.11	$20.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $25.65 / $124.94	Professional		$13.91	$25.65	$124.94
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 / $13.62	Professional		$6.63	$7.29	$13.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.61 / $13.65	Professional		$5.57	$8.61	$13.65