Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $79.43 / $216.28	Facility		$13.34	$79.43	$216.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $10.06 / $18.88	Professional		$8.66	$10.06	$18.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $6.93 / $6.93	Professional		$6.93	$6.93	$6.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $49.61 / $119.58	Facility		$19.63	$49.61	$119.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.44 / $8.89	Professional		$3.50	$8.44	$8.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $28.14 / $53.61	Facility		$12.06	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $13.35 / $17.55	Professional		$8.17	$13.35	$17.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $20.50 / $86.45	Professional		$12.13	$20.50	$86.45
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 $15.02 / $15.02 / $15.02	Professional		$15.02	$15.02	$15.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $6.35 / $14.44	Professional		$4.24	$6.35	$14.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.36 / $13.48	Professional		$4.84	$7.36	$13.48