Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $33.50 / $395.56	Facility		$15.73	$33.50	$395.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.07 / $26.72	Professional		$8.66	$14.07	$26.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $9.80 / $9.80	Professional		$9.80	$9.80	$9.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.69 / $52.13 / $171.71	Facility		$23.69	$52.13	$171.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.27 / $12.58	Professional		$3.50	$11.27	$12.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $40.09 / $75.94	Facility		$17.07	$40.09	$75.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $19.82 / $24.81	Professional		$10.68	$19.82	$24.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $29.66 / $253.65	Professional		$17.16	$29.66	$253.65
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 $21.24 / $21.24 / $21.24	Professional		$21.24	$21.24	$21.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $11.21 / $20.43	Professional		$6.00	$11.21	$20.43
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $10.62 / $19.07	Professional		$6.86	$10.62	$19.07