Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $30.39 / $53.09	Facility		$17.03	$30.39	$53.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $14.65 / $18.85	Professional		$9.02	$14.65	$18.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $74.09 / $178.95	Facility		$29.29	$74.09	$178.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.07 / $26.69	Professional		$11.75	$18.07	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.12 / $41.78 / $78.92	Facility		$19.12	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $21.69 / $47.60	Professional		$16.23	$21.69	$47.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $29.80 / $274.79	Professional		$17.03	$29.80	$274.79
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 $22.14 / $22.14 / $22.14	Professional		$22.14	$22.14	$22.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.31 / $32.34	Professional		$8.52	$12.31	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $10.22 / $20.28	Professional		$7.15	$10.22	$20.28