Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $60.26 / $281.84	Facility		$15.14	$60.26	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $22.91	Professional		$7.94	$10.96	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.41 / $18.20	Professional		$7.24	$7.41	$18.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.02 / $125.89	Facility		$16.22	$38.02	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $18.20 / $26.92	Professional		$8.32	$18.20	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $26.92 / $54.95	Facility		$7.76	$26.92	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $40.74	Professional		$13.80	$20.89	$40.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $154.88	Professional		$13.18	$23.44	$154.88
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 $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.02 / $23.99	Facility		$7.76	$12.02	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $10.47	Professional		$5.01	$7.24	$10.47