Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.50 / $44.46 / $122.40	Facility		$14.50	$44.46	$122.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $9.65 / $12.91	Professional		$8.25	$9.65	$12.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $13.39 / $16.73	Professional		$6.70	$13.39	$16.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $46.90 / $117.25	Facility		$18.87	$46.90	$117.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.70 / $8.59	Professional		$3.50	$7.70	$8.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $27.28 / $52.12	Facility		$11.66	$27.28	$52.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $13.63 / $17.21	Professional		$7.29	$13.63	$17.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $21.60 / $124.68	Professional		$11.72	$21.60	$124.68
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 $14.51 / $14.51 / $14.51	Professional		$14.51	$14.51	$14.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.58 / $7.66 / $13.95	Professional		$5.58	$7.66	$13.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $7.35 / $13.03	Professional		$4.69	$7.35	$13.03