Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.41 / $31.70 / $87.28	Facility		$12.41	$31.70	$87.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $11.08 / $21.58	Professional		$9.60	$11.08	$21.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $6.21 / $7.45	Professional		$6.21	$6.21	$7.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $38.40 / $130.49	Facility		$17.98	$38.40	$130.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.67 / $9.56	Professional		$3.50	$8.67	$9.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $30.54 / $56.58	Facility		$12.97	$30.54	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $15.28 / $19.10	Professional		$8.11	$15.28	$19.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $23.28 / $107.09	Professional		$13.03	$23.28	$107.09
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 $16.13 / $16.13 / $16.13	Professional		$16.13	$16.13	$16.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $8.51 / $15.51	Professional		$6.21	$8.51	$15.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.91 / $14.49	Professional		$5.21	$7.91	$14.49