Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $51.87 / $195.60	Facility		$16.26	$51.87	$195.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $26.60 / $30.89	Professional		$12.70	$26.60	$30.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $9.30	Professional		$9.30	$9.30	$9.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.46 / $49.39 / $162.84	Facility		$22.46	$49.39	$162.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.01 / $11.93	Professional		$3.50	$11.01	$11.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $37.52 / $71.48	Facility		$16.19	$37.52	$71.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $17.94 / $23.75	Professional		$10.11	$17.94	$23.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.26 / $29.96 / $165.72	Professional		$16.26	$29.96	$165.72
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 $20.14 / $20.14 / $20.14	Professional		$20.14	$20.14	$20.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $8.52 / $16.26	Professional		$7.75	$8.52	$16.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $10.07 / $21.00	Professional		$6.51	$10.07	$21.00