Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $69.30 / $142.56	Facility		$14.76	$69.30	$142.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.11 / $10.68	Professional		$8.94	$10.11	$10.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $5.81 / $6.97	Professional		$5.81	$5.81	$6.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $38.40 / $122.03	Facility		$17.36	$38.40	$122.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.49 / $8.94	Professional		$3.50	$8.49	$8.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $28.14 / $53.61	Facility		$12.13	$28.14	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $14.04 / $17.61	Professional		$7.58	$14.04	$17.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $22.43 / $164.47	Professional		$12.19	$22.43	$164.47
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 $15.09 / $15.09 / $15.09	Professional		$15.09	$15.09	$15.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $6.39 / $14.51	Professional		$4.26	$6.39	$14.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.11 / $11.61	Professional		$4.88	$7.11	$11.61