Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $22.15 / $169.92	Facility		$12.16	$22.15	$169.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.63 / $10.81	Professional		$8.32	$9.63	$10.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $6.49 / $6.49	Professional		$6.49	$6.49	$6.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $35.67 / $113.56	Facility		$16.12	$35.67	$113.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.90 / $8.32	Professional		$3.50	$7.90	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $26.42 / $49.14	Facility		$11.29	$26.42	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $13.22 / $16.53	Professional		$7.06	$13.22	$16.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $20.93 / $244.84	Professional		$11.35	$20.93	$244.84
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 $14.05 / $14.05 / $14.05	Professional		$14.05	$14.05	$14.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.42 / $13.51	Professional		$5.41	$7.42	$13.51
United Facility/Professional Professional Modifier Low / Median / High Price $4.54 / $7.35 / $11.13	Professional		$4.54	$7.35	$11.13