Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $68.50 / $173.42	Facility		$18.79	$68.50	$173.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $14.93 / $30.08	Professional		$13.70	$14.93	$30.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $175.67	Facility		$24.80	$53.80	$175.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.23 / $12.87	Professional		$3.50	$12.23	$12.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $40.92 / $77.43	Facility		$17.45	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $20.23 / $25.61	Professional		$10.92	$20.23	$25.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $32.34 / $164.47	Professional		$17.55	$32.34	$164.47
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 $21.72 / $21.72 / $21.72	Professional		$21.72	$21.72	$21.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $11.46 / $20.89	Professional		$8.36	$11.46	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.50 / $19.52	Professional		$7.02	$10.50	$19.52