Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $37.97 / $98.40	Facility		$20.83	$37.97	$98.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $13.48 / $22.23	Professional		$11.53	$13.48	$22.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.11	Professional		$11.11	$11.11	$11.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $43.04 / $177.71	Facility		$25.00	$43.04	$177.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.78 / $14.26	Professional		$3.50	$12.78	$14.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $44.31 / $84.88	Facility		$15.00	$44.31	$84.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $21.06 / $28.40	Professional		$9.43	$21.06	$28.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $29.63 / $174.16	Professional		$18.89	$29.63	$174.16
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 $24.08 / $24.08 / $24.08	Professional		$24.08	$24.08	$24.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $10.19 / $23.15	Professional		$6.80	$10.19	$23.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.78 / $11.11 / $18.52	Professional		$7.78	$11.11	$18.52