Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.36 / $51.30 / $94.07	Facility		$19.36	$51.30	$94.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $15.07 / $19.50	Professional		$13.50	$15.07	$19.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $177.31	Facility		$24.80	$53.80	$177.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.64 / $12.99	Professional		$3.50	$11.64	$12.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $40.92 / $77.43	Facility		$17.62	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $20.65 / $25.81	Professional		$11.02	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $32.63 / $111.89	Professional		$17.71	$32.63	$111.89
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 $21.93 / $21.93 / $21.93	Professional		$21.93	$21.93	$21.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $9.27 / $21.09	Professional		$6.19	$9.27	$21.09
United Facility/Professional Facility Modifier Low / Median / High Price $16.87 / $17.71 / $41.67	Facility		$16.87	$17.71	$41.67
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $12.65 / $21.00	Professional		$7.09	$12.65	$21.00