Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $35.65 / $138.06	Facility		$17.64	$35.65	$138.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $15.47 / $20.30	Professional		$14.47	$15.47	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $10.59 / $10.59	Professional		$10.59	$10.59	$10.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $54.88 / $185.50	Facility		$25.59	$54.88	$185.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.55 / $13.59	Professional		$3.50	$12.55	$13.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $42.88 / $81.90	Facility		$18.09	$42.88	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $21.48 / $26.85	Professional		$11.31	$21.48	$26.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $33.50 / $172.94	Professional		$18.53	$33.50	$172.94
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 $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $9.71 / $17.64	Professional		$6.97	$9.71	$17.64
United Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.59 / $18.18	Professional		$7.41	$10.59	$18.18