Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $98.90 / $966.28	Facility		$7.58	$98.90	$966.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.10 / $80.64 / $208.80	Professional		$9.10	$80.64	$208.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $6.26 / $7.83	Professional		$2.61	$6.26	$7.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $21.97 / $54.05	Facility		$9.06	$21.97	$54.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $4.01 / $4.18	Professional		$3.50	$4.01	$4.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.45 / $12.78 / $23.83	Facility		$5.45	$12.78	$23.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $6.20 / $8.00	Professional		$3.41	$6.20	$8.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $9.66 / $69.47	Professional		$5.48	$9.66	$69.47
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 $6.79 / $6.79 / $6.79	Professional		$6.79	$6.79	$6.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.87 / $6.53	Professional		$1.20	$2.87	$6.53
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.92 / $5.38	Professional		$2.19	$3.92	$5.38