Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $36.94 / $111.09	Facility		$19.42	$36.94	$111.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $14.63 / $28.12	Professional		$12.46	$14.63	$28.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $7.28 / $9.71	Professional		$7.28	$7.28	$9.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $52.13 / $170.07	Facility		$23.56	$52.13	$170.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.16 / $12.46	Professional		$3.50	$11.16	$12.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $39.24 / $74.45	Facility		$16.91	$39.24	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $19.82 / $24.81	Professional		$10.57	$19.82	$24.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.34 / $157.24	Professional		$16.98	$29.34	$157.24
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 $21.03 / $21.03 / $21.03	Professional		$21.03	$21.03	$21.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $8.31 / $16.18	Professional		$4.15	$8.31	$16.18
United Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $10.98 / $18.89	Professional		$6.80	$10.98	$18.89