Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $38.63 / $214.02	Facility		$16.91	$38.63	$214.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $14.74 / $30.28	Professional		$13.53	$14.74	$30.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Professional		$10.15	$10.15	$10.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $53.80 / $177.72	Facility		$24.80	$53.80	$177.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.67 / $13.02	Professional		$3.50	$11.67	$13.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $40.92 / $77.43	Facility		$17.68	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $20.65 / $26.01	Professional		$11.04	$20.65	$26.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $30.69 / $170.86	Professional		$17.76	$30.69	$170.86
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 $21.98 / $21.98 / $21.98	Professional		$21.98	$21.98	$21.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.21 / $9.30 / $12.43	Professional		$6.21	$9.30	$12.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $11.50 / $19.75	Professional		$7.10	$11.50	$19.75