Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $61.39 / $163.38	Facility		$17.32	$61.39	$163.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $11.70 / $18.45	Professional		$9.52	$11.70	$18.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $16.13 / $20.16	Professional		$8.06	$16.13	$20.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $43.04 / $141.27	Facility		$19.84	$43.04	$141.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.27 / $10.35	Professional		$3.50	$9.27	$10.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $33.13 / $62.54	Facility		$14.04	$33.13	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $16.52 / $20.65	Professional		$8.77	$16.52	$20.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $25.98 / $125.00	Professional		$14.11	$25.98	$125.00
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 $17.47 / $17.47 / $17.47	Professional		$17.47	$17.47	$17.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $9.22 / $16.80	Professional		$4.93	$9.22	$16.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $9.14 / $15.69	Professional		$5.64	$9.14	$15.69