Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.66 / $67.26 / $117.69	Facility		$17.66	$67.26	$117.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.76 / $21.92	Professional		$12.23	$13.76	$21.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $20.64 / $20.64	Professional		$9.17	$20.64	$20.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $49.39 / $160.66	Facility		$22.32	$49.39	$160.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.55 / $11.77	Professional		$3.50	$10.55	$11.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $37.52 / $69.98	Facility		$15.99	$37.52	$69.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.99 / $18.59 / $23.24	Professional		$9.99	$18.59	$23.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $29.60 / $137.33	Professional		$16.05	$29.60	$137.33
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 $19.88 / $19.88 / $19.88	Professional		$19.88	$19.88	$19.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.24 / $19.11	Professional		$7.65	$9.24	$19.11
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $9.17 / $15.75	Professional		$6.42	$9.17	$15.75