Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.54 / $46.90 / $136.88	Facility		$17.54	$46.90	$136.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $11.85 / $19.04	Professional		$9.42	$11.85	$19.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $43.04 / $142.91	Facility		$19.84	$43.04	$142.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.38 / $10.47	Professional		$3.50	$9.38	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $33.26 / $62.54	Facility		$14.21	$33.26	$62.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $15.85 / $20.81	Professional		$8.88	$15.85	$20.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $26.31 / $190.51	Professional		$14.28	$26.31	$190.51
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 $17.68 / $17.68 / $17.68	Professional		$17.68	$17.68	$17.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $9.33 / $17.00	Professional		$6.80	$9.33	$17.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.16 / $14.01	Professional		$5.71	$8.16	$14.01