Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.16 / $35.18 / $84.42	Facility		$17.16	$35.18	$84.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $14.76 / $16.51	Professional		$13.21	$14.76	$16.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $53.80 / $180.31	Facility		$24.88	$53.80	$180.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $11.84 / $13.21	Professional		$3.50	$11.84	$13.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.94 / $41.78 / $78.92	Facility		$17.94	$41.78	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $21.06 / $26.41	Professional		$11.21	$21.06	$26.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $33.21 / $158.53	Professional		$18.02	$33.21	$158.53
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 $22.31 / $22.31 / $22.31	Professional		$22.31	$22.31	$22.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.60 / $21.45	Professional		$6.31	$10.60	$21.45
United Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $10.30 / $17.16	Professional		$7.21	$10.30	$17.16