Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $87.36 / $161.19	Facility		$15.60	$87.36	$161.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $9.65 / $14.13	Professional		$8.81	$9.65	$14.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $14.00 / $14.50	Professional		$5.37	$14.00	$14.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $45.48 / $111.19	Facility		$18.79	$45.48	$111.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.07 / $26.69	Professional		$7.41	$18.07	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $26.42 / $49.14	Facility		$12.08	$26.42	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $19.18 / $36.33	Professional		$13.29	$19.18	$36.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $20.78 / $125.00	Professional		$11.28	$20.78	$125.00
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 $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $11.02 / $24.62	Professional		$5.37	$11.02	$24.62
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.35 / $12.54	Professional		$4.51	$7.35	$12.54