Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $32.08 / $57.46	Facility		$17.98	$32.08	$57.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $16.05 / $20.68	Professional		$13.84	$16.05	$20.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $24.27 / $24.27	Professional		$10.79	$24.27	$24.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $57.63 / $188.91	Facility		$26.07	$57.63	$188.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $12.41 / $13.84	Professional		$3.50	$12.41	$13.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $44.17 / $83.39	Facility		$18.79	$44.17	$83.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $20.86 / $27.36	Professional		$11.74	$20.86	$27.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.88 / $34.78 / $150.00	Professional		$18.88	$34.78	$150.00
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 $23.37 / $23.37 / $23.37	Professional		$23.37	$23.37	$23.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.89 / $22.48	Professional		$5.75	$9.89	$22.48
United Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $35.96 / $35.96	Facility		$10.36	$35.96	$35.96
United Facility/Professional Professional Modifier Low / Median / High Price $7.55 / $11.45 / $20.99	Professional		$7.55	$11.45	$20.99