Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $31.68 / $625.99	Facility		$15.45	$31.68	$625.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.70 / $14.88	Professional		$12.12	$12.70	$14.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $9.27	Professional		$9.27	$9.27	$9.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $46.65 / $158.97	Facility		$21.63	$46.65	$158.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.66 / $11.90	Professional		$3.50	$10.66	$11.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $36.95 / $71.48	Facility		$15.06	$36.95	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $19.00 / $23.75	Professional		$9.31	$19.00	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $27.58 / $94.95	Professional		$16.22	$27.58	$94.95
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 $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $8.50 / $19.30	Professional		$5.67	$8.50	$19.30
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.95 / $15.45	Professional		$6.49	$10.95	$15.45