Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $34.45 / $176.22	Facility		$17.23	$34.45	$176.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $14.94 / $16.80	Professional		$12.94	$14.94	$16.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $4.54 / $4.54	Professional		$4.54	$4.54	$4.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $76.89 / $222.30	Facility		$23.01	$76.89	$222.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.59 / $12.94	Professional		$3.50	$11.59	$12.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $40.92 / $77.43	Facility		$17.55	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $20.65 / $25.81	Professional		$10.98	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.80 / $27.96 / $186.71	Professional		$16.80	$27.96	$186.71
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 $21.84 / $21.84 / $21.84	Professional		$21.84	$21.84	$21.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $9.24 / $12.34	Professional		$3.23	$9.24	$12.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $10.08 / $16.80	Professional		$2.70	$10.08	$16.80