Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $26.23 / $50.78	Facility		$12.79	$26.23	$50.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.16 / $16.26	Professional		$10.23	$11.16	$16.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $7.67 / $7.67	Professional		$7.67	$7.67	$7.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.54 / $34.97 / $134.44	Facility		$18.54	$34.97	$134.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.83 / $9.85	Professional		$3.50	$8.83	$9.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $31.54 / $59.56	Facility		$13.37	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $15.02 / $19.61	Professional		$8.36	$15.02	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $22.38 / $104.43	Professional		$13.43	$22.38	$104.43
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 $16.63 / $16.63 / $16.63	Professional		$16.63	$16.63	$16.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $8.77 / $15.99	Professional		$6.40	$8.77	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.67 / $14.95	Professional		$5.37	$7.67	$14.95