Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $37.88 / $98.62	Facility		$18.75	$37.88	$98.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $16.13 / $18.05	Professional		$15.38	$16.13	$18.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.28 / $59.18 / $197.10	Facility		$27.28	$59.18	$197.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $13.72 / $14.44	Professional		$3.50	$13.72	$14.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.59 / $46.04 / $86.37	Facility		$19.59	$46.04	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.25 / $22.72 / $28.81	Professional		$12.25	$22.72	$28.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $35.72 / $125.00	Professional		$19.69	$35.72	$125.00
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 $24.38 / $24.38 / $24.38	Professional		$24.38	$24.38	$24.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.31 / $23.44	Professional		$6.88	$10.31	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $7.88 / $12.73 / $18.75	Professional		$7.88	$12.73	$18.75