Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $47.25 / $170.40	Facility		$13.84	$47.25	$170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.13 / $20.62	Professional		$9.44	$10.13	$20.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $13.84 / $17.30	Professional		$5.77	$13.84	$17.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.21 / $48.48 / $168.09	Facility		$15.21	$48.48	$168.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.96 / $8.88	Professional		$3.50	$7.96	$8.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $28.21 / $53.61	Facility		$8.06	$28.21	$53.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.31 / $13.22 / $16.78	Professional		$5.31	$13.22	$16.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.11 / $20.18 / $150.00	Professional		$12.11	$20.18	$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 $14.99 / $14.99 / $14.99	Professional		$14.99	$14.99	$14.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.34 / $11.53	Professional		$5.77	$6.34	$11.53
United Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $6.92 / $12.60	Professional		$4.84	$6.92	$12.60