Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $32.52 / $99.98	Facility		$16.26	$32.52	$99.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $14.17 / $28.34	Professional		$12.52	$14.17	$28.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $9.76 / $9.76	Professional		$9.76	$9.76	$9.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $52.13 / $170.89	Facility		$23.57	$52.13	$170.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.22 / $12.52	Professional		$3.50	$11.22	$12.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.09 / $74.45	Facility		$16.98	$40.09	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $19.82 / $24.81	Professional		$10.62	$19.82	$24.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $31.46 / $175.42	Professional		$17.07	$31.46	$175.42
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 $21.14 / $21.14 / $21.14	Professional		$21.14	$21.14	$21.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.97 / $8.94 / $20.32	Professional		$5.97	$8.94	$20.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $11.04 / $16.26	Professional		$6.83	$11.04	$16.26