Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.73 / $74.76 / $119.70	Facility		$18.73	$74.76	$119.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.21 / $11.83	Professional		$10.06	$11.21	$11.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.60 / $19.35	Professional		$7.74	$8.60	$19.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.12 / $32.93 / $135.54	Facility		$18.12	$32.93	$135.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.43 / $9.93	Professional		$3.50	$9.43	$9.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $31.54 / $59.56	Facility		$13.46	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $15.69 / $19.61	Professional		$8.42	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $20.64 / $111.87	Professional		$13.55	$20.64	$111.87
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 $16.77 / $16.77 / $16.77	Professional		$16.77	$16.77	$16.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $7.10 / $9.48	Professional		$4.74	$7.10	$9.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $8.85 / $12.90	Facility		$8.85	$8.85	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.19 / $15.06	Professional		$5.42	$8.19	$15.06