Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $31.77 / $127.82	Facility		$13.24	$31.77	$127.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.59 / $11.63 / $23.00	Professional		$10.59	$11.63	$23.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Professional		$7.75	$7.75	$7.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $54.32 / $133.77	Facility		$21.66	$54.32	$133.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.18 / $9.94	Professional		$3.50	$9.18	$9.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $31.54 / $59.56	Facility		$13.49	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $15.02 / $19.61	Professional		$9.10	$15.02	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $24.98 / $110.02	Professional		$13.57	$24.98	$110.02
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 $16.80 / $16.80 / $16.80	Professional		$16.80	$16.80	$16.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.86 / $16.14	Professional		$6.46	$8.86	$16.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.43 / $8.23 / $13.65	Professional		$5.43	$8.23	$13.65