Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.79 / $59.15 / $142.56	Facility		$17.79	$59.15	$142.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $12.34 / $14.18	Professional		$11.34	$12.34	$14.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $46.65 / $149.05	Facility		$21.08	$46.65	$149.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.07 / $10.92	Professional		$3.50	$10.07	$10.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $34.97 / $65.52	Facility		$14.81	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $17.35 / $21.69	Professional		$9.26	$17.35	$21.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $27.44 / $132.84	Professional		$14.89	$27.44	$132.84
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 $18.43 / $18.43 / $18.43	Professional		$18.43	$18.43	$18.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $9.30 / $17.73	Professional		$5.20	$9.30	$17.73
United Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $23.77 / $23.77	Facility		$23.77	$23.77	$23.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $9.51 / $16.55	Professional		$5.96	$9.51	$16.55