Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $27.58 / $101.92	Facility		$12.75	$27.58	$101.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $11.54 / $13.25	Professional		$10.87	$11.54	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.21 / $41.16 / $139.22	Facility		$19.21	$41.16	$139.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.14 / $10.19	Professional		$3.50	$9.14	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $32.40 / $61.05	Facility		$13.84	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $16.11 / $20.41	Professional		$8.65	$16.11	$20.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $25.65 / $150.00	Professional		$13.91	$25.65	$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 $17.23 / $17.23 / $17.23	Professional		$17.23	$17.23	$17.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $9.09 / $16.55	Professional		$6.63	$9.09	$16.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.44 / $15.47	Professional		$5.57	$8.44	$15.47