Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $53.70 / $421.86	Facility		$20.67	$53.70	$421.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.61 / $31.20	Professional		$9.49	$15.61	$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 / $228.99	Professional		$18.80	$32.49	$228.99
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 Professional Modifier Low / Median / High Price $7.52 / $11.40 / $17.89	Professional		$7.52	$11.40	$17.89