Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $70.90 / $218.30	Facility		$20.59	$70.90	$218.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $12.77 / $18.03	Professional		$10.48	$12.77	$18.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $14.18 / $19.14	Professional		$7.09	$14.18	$19.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.41 / $54.20 / $146.63	Facility		$20.41	$54.20	$146.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.77 / $10.92	Professional		$3.50	$9.77	$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 / $24.82 / $154.82	Professional		$14.89	$24.82	$154.82
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 / $9.73 / $17.73	Professional		$5.20	$9.73	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.51 / $14.61	Professional		$5.96	$8.51	$14.61