Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $35.61 / $92.79	Facility		$17.10	$35.61	$92.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.88 / $15.71	Professional		$11.13	$14.88	$15.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.82 / $53.80 / $179.90	Facility		$24.82	$53.80	$179.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.81 / $13.18	Professional		$3.50	$11.81	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $41.78 / $78.92	Facility		$17.89	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $21.06 / $26.33	Professional		$11.19	$21.06	$26.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $27.86 / $121.21	Professional		$17.23	$27.86	$121.21
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 $22.26 / $22.26 / $22.26	Professional		$22.26	$22.26	$22.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $11.74 / $21.40	Professional		$8.56	$11.74	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $10.27 / $17.12	Professional		$7.07	$10.27	$17.12