Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $31.78 / $133.38	Facility		$15.89	$31.78	$133.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.41 / $19.70	Professional		$10.08	$13.41	$19.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.47 / $49.39 / $162.97	Facility		$22.47	$49.39	$162.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.70 / $11.94	Professional		$3.50	$10.70	$11.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $37.52 / $71.48	Facility		$16.19	$37.52	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $19.00 / $23.75	Professional		$10.11	$19.00	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $29.99 / $121.33	Professional		$16.28	$29.99	$121.33
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 $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $10.63 / $19.38	Professional		$7.75	$10.63	$19.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.86 / $15.50	Professional		$6.51	$9.86	$15.50