Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.35 / $82.97 / $295.02	Facility		$21.35	$82.97	$295.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.56 / $13.89 / $27.78	Professional		$12.56	$13.89	$27.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $9.19	Professional		$6.89	$6.89	$9.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $48.42 / $161.07	Facility		$22.32	$48.42	$161.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.89 / $11.80	Professional		$3.50	$10.89	$11.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $37.52 / $69.98	Facility		$16.01	$37.52	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.01 / $17.52 / $23.61	Professional		$10.01	$17.52	$23.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $29.65 / $265.68	Professional		$16.09	$29.65	$265.68
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 $19.92 / $19.92 / $19.92	Professional		$19.92	$19.92	$19.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $10.51 / $19.14	Professional		$7.66	$10.51	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $11.78 / $15.32	Professional		$6.43	$11.78	$15.32