Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $35.64 / $492.06	Facility		$14.90	$35.64	$492.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $11.57 / $21.23	Professional		$9.60	$11.57	$21.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $7.79	Professional		$6.49	$6.49	$7.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $45.73 / $182.01	Facility		$20.89	$45.73	$182.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.99 / $12.98	Professional		$3.50	$9.99	$12.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $31.54 / $59.56	Facility		$13.57	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $15.02 / $20.01	Professional		$8.48	$15.02	$20.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.98 / $22.72 / $200.81	Professional		$12.98	$22.72	$200.81
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 $16.87 / $16.87 / $16.87	Professional		$16.87	$16.87	$16.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $8.90 / $16.23	Professional		$4.76	$8.90	$16.23
United Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Facility		$60.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $8.40 / $13.37	Professional		$5.45	$8.40	$13.37