Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $62.58 / $153.12	Facility		$22.87	$62.58	$153.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $14.77 / $29.52	Professional		$13.55	$14.77	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $10.16 / $10.16	Professional		$10.16	$10.16	$10.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $54.88 / $177.99	Facility		$24.80	$54.88	$177.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.04 / $13.04	Professional		$3.50	$12.04	$13.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $41.58 / $77.43	Facility		$17.70	$41.58	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $20.65 / $26.01	Professional		$11.06	$20.65	$26.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $32.77 / $260.42	Professional		$17.79	$32.77	$260.42
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 $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.62 / $21.18	Professional		$8.47	$11.62	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $11.01 / $17.45	Professional		$7.11	$11.01	$17.45