Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $60.16 / $193.50	Facility		$15.66	$60.16	$193.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $10.74 / $14.40	Professional		$9.53	$10.74	$14.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $20.21 / $127.58	Facility		$11.41	$20.21	$127.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.02 / $9.49	Professional		$3.50	$9.02	$9.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $29.86 / $56.58	Facility		$12.87	$29.86	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $14.87 / $18.80	Professional		$8.05	$14.87	$18.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $21.56 / $100.70	Professional		$12.32	$21.56	$100.70
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 $16.02 / $16.02 / $16.02	Professional		$16.02	$16.02	$16.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.52 / $8.44 / $15.40	Professional		$4.52	$8.44	$15.40
United Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $7.39 / $12.69	Professional		$4.46	$7.39	$12.69