Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $76.59 / $413.28	Facility		$19.47	$76.59	$413.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $13.37 / $26.74	Professional		$11.80	$13.37	$26.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$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 / $10.57 / $11.80	Professional		$3.50	$10.57	$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 / $188.34	Professional		$16.09	$29.65	$188.34
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 Facility Modifier Low / Median / High Price $10.51 / $15.32 / $18.38	Facility		$10.51	$15.32	$18.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $11.49 / $31.31	Professional		$6.43	$11.49	$31.31