Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $61.72 / $135.22	Facility		$19.32	$61.72	$135.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $14.00 / $20.41	Professional		$11.88	$14.00	$20.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.56 / $52.13 / $168.85	Facility		$23.56	$52.13	$168.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.41 / $12.37	Professional		$3.50	$11.41	$12.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $39.24 / $74.45	Facility		$16.78	$39.24	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $18.77 / $24.41	Professional		$10.49	$18.77	$24.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $31.08 / $142.11	Professional		$16.86	$31.08	$142.11
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 $20.88 / $20.88 / $20.88	Professional		$20.88	$20.88	$20.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $8.83 / $16.50	Professional		$8.02	$8.83	$16.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $9.64 / $18.75	Professional		$6.75	$9.64	$18.75