Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $96.25 / $195.56	Facility		$21.31	$96.25	$195.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $12.97 / $16.76	Professional		$11.95	$12.97	$16.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $9.71 / $19.67	Professional		$3.93	$9.71	$19.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.12 / $46.65 / $153.15	Facility		$21.12	$46.65	$153.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.05 / $14.57	Professional		$3.50	$10.05	$14.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $35.74 / $67.01	Facility		$15.22	$35.74	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $17.76 / $22.41	Professional		$9.52	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $26.95 / $132.90	Professional		$15.30	$26.95	$132.90
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 $18.94 / $18.94 / $18.94	Professional		$18.94	$18.94	$18.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.35 / $8.01 / $18.21	Professional		$5.35	$8.01	$18.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.91 / $17.02	Professional		$6.12	$9.91	$17.02