Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $74.36 / $232.40	Facility		$19.37	$74.36	$232.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.06 / $22.61	Professional		$10.23	$12.06	$22.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.23 / $6.23 / $8.30	Professional		$6.23	$6.23	$8.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $43.04 / $145.50	Facility		$20.05	$43.04	$145.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.13 / $10.66	Professional		$3.50	$10.13	$10.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $34.11 / $64.03	Facility		$14.46	$34.11	$64.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $16.27 / $21.21	Professional		$9.02	$16.27	$21.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $26.61 / $247.90	Professional		$14.53	$26.61	$247.90
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 $17.98 / $17.98 / $17.98	Professional		$17.98	$17.98	$17.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $9.49 / $13.84	Professional		$6.14	$9.49	$13.84
United Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $14.53 / $34.18	Facility		$13.84	$14.53	$34.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $10.36 / $16.14	Professional		$5.81	$10.36	$16.14