Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $77.93 / $162.88	Facility		$18.05	$77.93	$162.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.31 / $12.95 / $25.70	Professional		$10.31	$12.95	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $8.63	Professional		$8.63	$8.63	$8.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $60.49 / $148.99	Facility		$24.46	$60.49	$148.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.93 / $11.08	Professional		$3.50	$9.93	$11.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $34.97 / $65.52	Facility		$15.05	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $17.35 / $22.01	Professional		$9.40	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $27.85 / $150.00	Professional		$15.11	$27.85	$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 $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $9.86 / $17.98	Professional		$7.20	$9.86	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.83 / $16.80	Professional		$6.04	$8.83	$16.80