Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.75 / $89.96 / $298.54	Facility		$16.75	$89.96	$298.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.45 / $16.94	Professional		$10.55	$11.45	$16.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $15.44 / $17.00	Professional		$6.44	$15.44	$17.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $64.27 / $175.67	Facility		$22.52	$64.27	$175.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.91 / $12.87	Professional		$3.50	$9.91	$12.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $31.54 / $59.56	Facility		$13.44	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $15.69 / $19.61	Professional		$9.30	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $23.38 / $120.00	Professional		$13.51	$23.38	$120.00
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 $16.73 / $16.73 / $16.73	Professional		$16.73	$16.73	$16.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.83 / $16.09	Professional		$6.44	$8.83	$16.09
United Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $10.94 / $15.03	Professional		$7.72	$10.94	$15.03