Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $47.71 / $120.14	Facility		$18.38	$47.71	$120.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $12.57 / $16.63	Professional		$11.57	$12.57	$16.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $8.68 / $8.68	Professional		$8.68	$8.68	$8.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $46.65 / $151.91	Facility		$21.08	$46.65	$151.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.98 / $11.13	Professional		$3.50	$9.98	$11.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $34.97 / $67.01	Facility		$15.12	$34.97	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $17.76 / $22.20	Professional		$9.44	$17.76	$22.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.18 / $27.97 / $150.00	Professional		$15.18	$27.97	$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 $18.80 / $18.80 / $18.80	Professional		$18.80	$18.80	$18.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $7.95 / $18.07	Professional		$5.31	$7.95	$18.07
United Facility/Professional Facility Modifier Low / Median / High Price $24.24 / $24.24 / $24.24	Facility		$24.24	$24.24	$24.24
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $9.44 / $14.89	Professional		$6.07	$9.44	$14.89