Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $73.68 / $187.09	Facility		$19.19	$73.68	$187.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $12.21 / $22.33	Professional		$6.56	$12.21	$22.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $9.50 / $18.00	Professional		$6.84	$9.50	$18.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $62.70 / $169.62	Facility		$23.52	$62.70	$169.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.53 / $13.68	Professional		$3.50	$10.53	$13.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $33.26 / $62.54	Facility		$14.29	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $16.52 / $20.65	Professional		$8.93	$16.52	$20.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $26.36 / $115.63	Professional		$14.36	$26.36	$115.63
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 $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.84 / $9.38 / $17.10	Professional		$6.84	$9.38	$17.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.38 / $14.09	Professional		$5.75	$8.38	$14.09