Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $34.72 / $93.09	Facility		$14.78	$34.72	$93.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $15.33 / $30.66	Professional		$13.75	$15.33	$30.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $7.74 / $8.60	Professional		$7.74	$7.74	$8.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.92 / $53.80 / $180.72	Facility		$24.92	$53.80	$180.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.24 / $13.24	Professional		$3.50	$13.24	$13.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $41.78 / $78.92	Facility		$17.96	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $20.02 / $26.41	Professional		$11.23	$20.02	$26.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $30.08 / $216.66	Professional		$17.19	$30.08	$216.66
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 $22.35 / $22.35 / $22.35	Professional		$22.35	$22.35	$22.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.44 / $21.49	Professional		$6.31	$9.44	$21.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.95 / $17.71	Professional		$7.22	$10.95	$17.71