Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $23.06 / $45.22	Facility		$9.92	$23.06	$45.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $9.94 / $10.60	Professional		$6.11	$9.94	$10.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $6.92	Professional		$5.77	$5.77	$6.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $35.67 / $121.21	Facility		$16.71	$35.67	$121.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.96 / $8.88	Professional		$3.50	$7.96	$8.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $28.14 / $53.61	Facility		$12.05	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $13.35 / $17.55	Professional		$7.53	$13.35	$17.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $21.48 / $132.40	Professional		$12.11	$21.48	$132.40
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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.23 / $6.34 / $14.41	Professional		$4.23	$6.34	$14.41
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $7.83 / $11.53	Professional		$4.84	$7.83	$11.53