Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $28.28 / $91.20	Facility		$13.79	$28.28	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $11.86 / $33.51	Professional		$10.89	$11.86	$33.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Professional		$8.27	$8.27	$8.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $40.35 / $141.88	Facility		$19.30	$40.35	$141.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.52 / $10.62	Professional		$3.50	$9.52	$10.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.44 / $32.97 / $64.03	Facility		$13.44	$32.97	$64.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $16.93 / $21.16	Professional		$8.16	$16.93	$21.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $24.19 / $121.54	Professional		$14.48	$24.19	$121.54
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 $17.93 / $17.93 / $17.93	Professional		$17.93	$17.93	$17.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $9.46 / $17.23	Professional		$6.90	$9.46	$17.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.79 / $8.27 / $13.79	Professional		$5.79	$8.27	$13.79