Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $45.30 / $179.29	Facility		$19.48	$45.30	$179.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.13 / $74.34	Professional		$10.84	$15.13	$74.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $51.11 / $175.26	Facility		$24.17	$51.11	$175.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.20 / $12.84	Professional		$3.50	$12.20	$12.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $40.92 / $77.43	Facility		$17.43	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $19.61 / $25.61	Professional		$10.90	$19.61	$25.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $31.54 / $125.00	Professional		$17.50	$31.54	$125.00
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 $21.67 / $21.67 / $21.67	Professional		$21.67	$21.67	$21.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.17 / $20.84	Professional		$6.12	$9.17	$20.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $10.22 / $17.17	Professional		$7.00	$10.22	$17.17