Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.13 / $53.64 / $135.30	Facility		$19.13	$53.64	$135.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.42 / $54.60	Professional		$12.34	$13.42	$54.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $49.39 / $158.19	Facility		$22.32	$49.39	$158.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.01 / $11.59	Professional		$3.50	$11.01	$11.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $36.65 / $69.98	Facility		$15.73	$36.65	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $18.17 / $23.21	Professional		$9.84	$18.17	$23.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $29.12 / $125.00	Professional		$15.80	$29.12	$125.00
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 $19.57 / $19.57 / $19.57	Professional		$19.57	$19.57	$19.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $8.27 / $11.06	Professional		$5.52	$8.27	$11.06
United Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $9.77 / $15.05	Professional		$6.32	$9.77	$15.05