Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $38.94 / $117.81	Facility		$16.62	$38.94	$117.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $13.32 / $24.17	Professional		$9.61	$13.32	$24.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $8.86	Professional		$7.39	$7.39	$8.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $46.65 / $155.33	Facility		$21.43	$46.65	$155.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.19 / $11.38	Professional		$3.50	$10.19	$11.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $35.83 / $68.50	Facility		$15.45	$35.83	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $18.17 / $22.81	Professional		$9.66	$18.17	$22.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $28.62 / $121.21	Professional		$15.52	$28.62	$121.21
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 $19.21 / $19.21 / $19.21	Professional		$19.21	$19.21	$19.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $8.13 / $10.86	Professional		$5.42	$8.13	$10.86
United Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $11.09 / $17.27	Professional		$6.21	$11.09	$17.27