Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $67.26 / $139.44	Facility		$16.46	$67.26	$139.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.81 / $18.80	Professional		$9.69	$11.81	$18.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $7.87 / $7.87	Professional		$7.87	$7.87	$7.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $40.35 / $137.86	Facility		$19.02	$40.35	$137.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.32 / $10.10	Professional		$3.50	$9.32	$10.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $32.40 / $61.05	Facility		$13.71	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.57 / $16.11 / $20.14	Professional		$8.57	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $25.38 / $130.72	Professional		$13.78	$25.38	$130.72
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 $17.05 / $17.05 / $17.05	Professional		$17.05	$17.05	$17.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $8.99 / $13.77	Professional		$6.56	$8.99	$13.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $7.87 / $13.51	Professional		$5.51	$7.87	$13.51