Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $95.81 / $385.86	Facility		$17.60	$95.81	$385.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $12.09 / $24.18	Professional		$7.56	$12.09	$24.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $18.28	Professional		$8.11	$8.11	$18.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $58.30 / $140.22	Facility		$23.28	$58.30	$140.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.34 / $10.43	Professional		$3.50	$9.34	$10.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.16 / $33.26 / $62.54	Facility		$14.16	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $16.52 / $20.81	Professional		$8.85	$16.52	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $26.21 / $150.00	Professional		$14.22	$26.21	$150.00
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 $17.60 / $17.60 / $17.60	Professional		$17.60	$17.60	$17.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $9.28 / $16.93	Professional		$6.77	$9.28	$16.93
United Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $10.15 / $13.54	Professional		$5.69	$10.15	$13.54