Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $36.70 / $440.14	Facility		$17.23	$36.70	$440.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $16.00 / $31.20	Professional		$13.78	$16.00	$31.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $8.94 / $10.74	Professional		$8.94	$8.94	$10.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $57.63 / $188.09	Facility		$26.04	$57.63	$188.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.35 / $13.78	Professional		$3.50	$12.35	$13.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $43.50 / $81.90	Facility		$18.70	$43.50	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $20.86 / $27.36	Professional		$11.70	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $32.49 / $251.89	Professional		$18.80	$32.49	$251.89
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 $23.27 / $23.27 / $23.27	Professional		$23.27	$23.27	$23.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.85 / $22.38	Professional		$6.58	$9.85	$22.38
United Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $17.89 / $21.48	Facility		$12.28	$17.89	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.74 / $20.90	Professional		$7.52	$10.74	$20.90