Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $150.66 / $302.39	Facility		$21.20	$150.66	$302.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $9.05 / $17.84	Professional		$8.57	$9.05	$17.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $13.00 / $18.71	Professional		$6.24	$13.00	$18.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $51.45 / $116.54	Facility		$17.45	$51.45	$116.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.11 / $9.60	Professional		$3.50	$9.11	$9.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $29.84 / $58.07	Facility		$10.86	$29.84	$58.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.87 / $14.60 / $19.10	Professional		$6.87	$14.60	$19.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $19.95 / $115.85	Professional		$13.09	$19.95	$115.85
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 $16.21 / $16.21 / $16.21	Professional		$16.21	$16.21	$16.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.55 / $15.59	Professional		$6.24	$8.55	$15.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $7.56 / $14.96	Professional		$5.24	$7.56	$14.96