Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $49.33 / $279.44	Facility		$16.48	$49.33	$279.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.32 / $14.68	Professional		$8.72	$11.32	$14.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $16.98 / $18.87	Professional		$7.55	$16.98	$18.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $41.16 / $132.26	Facility		$18.60	$41.16	$132.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.68 / $9.69	Professional		$3.50	$8.68	$9.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $30.71 / $58.07	Facility		$13.13	$30.71	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $15.28 / $19.21	Professional		$8.22	$15.28	$19.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $24.33 / $128.72	Professional		$13.21	$24.33	$128.72
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 $16.35 / $16.35 / $16.35	Professional		$16.35	$16.35	$16.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.29 / $8.63 / $15.73	Professional		$6.29	$8.63	$15.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $9.67 / $12.58	Professional		$5.28	$9.67	$12.58