Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $69.14 / $174.24	Facility		$13.85	$69.14	$174.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $9.33 / $10.74	Professional		$8.81	$9.33	$10.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $6.44	Professional		$5.37	$5.37	$6.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $35.67 / $112.88	Facility		$16.12	$35.67	$112.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.41 / $8.27	Professional		$3.50	$7.41	$8.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.42 / $49.14	Facility		$11.22	$26.42	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $13.22 / $16.53	Professional		$7.02	$13.22	$16.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $20.78 / $124.40	Professional		$11.28	$20.78	$124.40
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 $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.37 / $13.43	Professional		$5.37	$7.37	$13.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $6.84 / $10.74	Professional		$4.51	$6.84	$10.74