Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $26.38 / $254.52	Facility		$12.87	$26.38	$254.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $11.22 / $15.40	Professional		$6.82	$11.22	$15.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $7.72 / $7.72	Professional		$7.72	$7.72	$7.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $58.88 / $170.25	Facility		$17.63	$58.88	$170.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.41 / $9.91	Professional		$3.50	$9.41	$9.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $31.54 / $59.56	Facility		$13.44	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $15.69 / $19.61	Professional		$8.41	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $22.52 / $250.13	Professional		$12.87	$22.52	$250.13
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 $16.73 / $16.73 / $16.73	Professional		$16.73	$16.73	$16.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $8.83 / $16.09	Professional		$6.44	$8.83	$16.09
United Facility/Professional Facility Modifier Low / Median / High Price $7.42 / $25.74 / $25.74	Facility		$7.42	$25.74	$25.74
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $9.64 / $15.03	Professional		$5.41	$9.64	$15.03