Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.79 / $65.48 / $380.76	Facility		$15.79	$65.48	$380.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $10.76 / $21.48	Professional		$7.83	$10.76	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $12.05 / $12.05	Professional		$7.23	$12.05	$12.05
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 $8.31 / $18.07 / $26.69	Professional		$8.31	$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 / $20.38 / $38.28	Professional		$13.88	$20.38	$38.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $22.96 / $125.00	Professional		$12.65	$22.96	$125.00
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 / $12.05 / $32.34	Professional		$6.03	$12.05	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.19 / $12.05	Professional		$5.05	$8.19	$12.05