Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $40.27 / $141.90	Facility		$19.82	$40.27	$141.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $15.32 / $17.63	Professional		$13.58	$15.32	$17.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $10.58 / $10.58	Professional		$10.58	$10.58	$10.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $56.49 / $185.36	Facility		$26.04	$56.49	$185.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.16 / $13.58	Professional		$3.50	$12.16	$13.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.42 / $43.50 / $81.90	Facility		$18.42	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $21.48 / $26.85	Professional		$11.52	$21.48	$26.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $33.59 / $150.00	Professional		$18.51	$33.59	$150.00
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 $22.92 / $22.92 / $22.92	Professional		$22.92	$22.92	$22.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $12.09 / $22.04	Professional		$6.47	$12.09	$22.04
United Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $35.26 / $35.26	Facility		$10.16	$35.26	$35.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $11.97 / $18.16	Professional		$7.40	$11.97	$18.16