Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.27 / $31.11 / $45.56	Facility		$14.27	$31.11	$45.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $14.27 / $21.08	Professional		$8.77	$14.27	$21.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $9.94 / $9.94	Professional		$9.94	$9.94	$9.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.05 / $52.13 / $174.31	Facility		$24.05	$52.13	$174.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.77 / $12.77	Professional		$3.50	$12.77	$12.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.35 / $40.92 / $75.94	Facility		$17.35	$40.92	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $20.23 / $25.30	Professional		$10.84	$20.23	$25.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $30.69 / $136.13	Professional		$17.42	$30.69	$136.13
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 $21.57 / $21.57 / $21.57	Professional		$21.57	$21.57	$21.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.09 / $9.11 / $20.74	Professional		$6.09	$9.11	$20.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $11.13 / $17.85	Professional		$6.97	$11.13	$17.85