Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $65.92 / $171.29	Facility		$16.55	$65.92	$171.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $10.54 / $14.92	Professional		$8.60	$10.54	$14.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $7.25 / $16.32	Professional		$6.05	$7.25	$16.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $52.04 / $125.13	Facility		$20.79	$52.04	$125.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.34 / $9.31	Professional		$3.50	$8.34	$9.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $29.86 / $55.10	Facility		$12.64	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $13.77 / $18.59	Professional		$8.53	$13.77	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $23.38 / $127.13	Professional		$12.69	$23.38	$127.13
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 $15.72 / $15.72 / $15.72	Professional		$15.72	$15.72	$15.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.28 / $15.11	Professional		$6.05	$8.28	$15.11
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.70 / $12.45	Professional		$5.08	$7.70	$12.45