Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $91.24 / $185.68	Facility		$20.22	$91.24	$185.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $15.02 / $19.38	Professional		$12.06	$15.02	$19.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.43 / $53.80 / $177.04	Facility		$24.43	$53.80	$177.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.63 / $12.97	Professional		$3.50	$11.63	$12.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.61 / $40.92 / $77.43	Facility		$17.61	$40.92	$77.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $20.65 / $25.81	Professional		$11.01	$20.65	$25.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $32.59 / $144.46	Professional		$17.69	$32.59	$144.46
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 $21.91 / $21.91 / $21.91	Professional		$21.91	$21.91	$21.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $9.27 / $17.69	Professional		$8.43	$9.27	$17.69
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.11 / $19.67	Professional		$7.08	$10.11	$19.67