Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $69.55 / $299.64	Facility		$17.30	$69.55	$299.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $19.34 / $92.79	Professional		$9.67	$19.34	$92.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $35.67 / $161.63	Facility		$16.71	$35.67	$161.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.88 / $11.53	Professional		$3.50	$8.88	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $28.14 / $53.61	Facility		$12.05	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.04 / $17.61	Professional		$8.40	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $20.95 / $125.00	Professional		$12.11	$20.95	$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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $7.91 / $14.41	Professional		$5.77	$7.91	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.83 / $12.60	Professional		$4.84	$7.83	$12.60