Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $72.36 / $288.11	Facility		$17.32	$72.36	$288.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $20.94 / $42.84	Professional		$10.21	$20.94	$42.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $7.20 / $14.40	Professional		$7.20	$7.20	$14.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $49.52 / $124.22	Facility		$19.55	$49.52	$124.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.27 / $9.24	Professional		$3.50	$8.27	$9.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $29.00 / $55.10	Facility		$12.54	$29.00	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $13.77 / $18.41	Professional		$7.84	$13.77	$18.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $23.23 / $150.00	Professional		$12.60	$23.23	$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 $15.60 / $15.60 / $15.60	Professional		$15.60	$15.60	$15.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $8.23 / $15.00	Professional		$6.00	$8.23	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.04 / $7.20 / $14.01	Professional		$5.04	$7.20	$14.01