Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.96 / $42.83 / $123.20	Facility		$16.96	$42.83	$123.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $13.05 / $15.08	Professional		$9.80	$13.05	$15.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $9.05 / $18.10	Professional		$7.54	$9.05	$18.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $48.42 / $158.47	Facility		$22.32	$48.42	$158.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.41 / $11.61	Professional		$3.50	$10.41	$11.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.75 / $36.65 / $69.98	Facility		$15.75	$36.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $18.59 / $23.24	Professional		$9.84	$18.59	$23.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $29.16 / $154.15	Professional		$15.83	$29.16	$154.15
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 $19.60 / $19.60 / $19.60	Professional		$19.60	$19.60	$19.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $10.34 / $18.85	Professional		$6.19	$10.34	$18.85
United Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $30.16 / $30.16	Facility		$8.69	$30.16	$30.16
United Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $9.61 / $17.60	Professional		$6.33	$9.61	$17.60