Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $29.42 / $119.18	Facility		$14.71	$29.42	$119.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $12.65 / $14.71	Professional		$7.79	$12.65	$14.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $8.83 / $8.83	Professional		$8.83	$8.83	$8.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $45.73 / $154.65	Facility		$21.32	$45.73	$154.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.76 / $11.33	Professional		$3.50	$10.76	$11.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.38 / $35.83 / $67.01	Facility		$15.38	$35.83	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $17.76 / $22.41	Professional		$9.61	$17.76	$22.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $28.46 / $162.05	Professional		$15.45	$28.46	$162.05
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 $19.12 / $19.12 / $19.12	Professional		$19.12	$19.12	$19.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $10.09 / $18.39	Professional		$7.36	$10.09	$18.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $11.03 / $18.89	Professional		$6.18	$11.03	$18.89