Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $24.34 / $210.04	Facility		$12.35	$24.34	$210.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $12.26 / $26.60	Professional		$9.75	$12.26	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $7.23 / $7.23	Professional		$7.23	$7.23	$7.23
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 $12.85 / $30.10 / $55.10	Facility		$12.85	$30.10	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $13.77 / $18.59	Professional		$5.46	$13.77	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $21.09 / $357.57	Professional		$12.65	$21.09	$357.57
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 / $10.11 / $15.06	Professional		$6.03	$10.11	$15.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.23 / $10.11 / $15.01	Professional		$7.23	$10.11	$15.01