Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $85.84 / $197.38	Facility		$18.98	$85.84	$197.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.49 / $14.91	Professional		$9.44	$11.49	$14.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.66 / $17.23	Professional		$5.74	$7.66	$17.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $40.35 / $134.16	Facility		$18.60	$40.35	$134.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.80 / $9.83	Professional		$3.50	$8.80	$9.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.33 / $31.54 / $58.07	Facility		$13.33	$31.54	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $14.60 / $19.61	Professional		$9.10	$14.60	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $24.71 / $121.51	Professional		$13.40	$24.71	$121.51
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 $16.59 / $16.59 / $16.59	Professional		$16.59	$16.59	$16.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $8.75 / $15.95	Professional		$4.69	$8.75	$15.95
United Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $8.13 / $13.14	Professional		$5.36	$8.13	$13.14