Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $63.37 / $391.74	Facility		$15.12	$63.37	$391.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $10.92 / $32.76	Professional		$9.88	$10.92	$32.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $49.74 / $124.74	Facility		$21.08	$49.74	$124.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $18.07 / $26.69	Professional		$8.56	$18.07	$26.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $29.86 / $55.10	Facility		$13.55	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $20.58 / $38.28	Professional		$13.88	$20.58	$38.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $23.32 / $150.00	Professional		$12.65	$23.32	$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 $15.67 / $15.67 / $15.67	Professional		$15.67	$15.67	$15.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.27 / $32.34	Professional		$6.03	$8.27	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.19 / $12.05	Professional		$5.05	$8.19	$12.05