Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.05 / $41.96 / $160.52	Facility		$12.05	$41.96	$160.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $19.80 / $29.01	Professional		$9.66	$19.80	$29.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.23 / $16.27	Professional		$6.03	$7.23	$16.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $50.66 / $175.67	Facility		$15.90	$50.66	$175.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.67 / $9.27	Professional		$3.50	$8.67	$9.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $28.81 / $55.10	Facility		$8.06	$28.81	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $13.63 / $17.30	Professional		$5.46	$13.63	$17.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $20.64 / $139.19	Professional		$12.65	$20.64	$139.19
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 / $12.05	Professional		$6.03	$8.27	$12.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $12.60	Professional		$4.84	$6.92	$12.60