Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $68.18 / $216.35	Facility		$17.47	$68.18	$216.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $10.76 / $14.46	Professional		$9.03	$10.76	$14.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.25 / $6.03 / $18.07	Professional		$3.25	$6.03	$18.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $38.40 / $126.67	Facility		$17.47	$38.40	$126.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.82 / $9.27	Professional		$3.50	$8.82	$9.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.86 / $55.10	Facility		$12.59	$29.86	$55.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.87 / $13.77 / $18.59	Professional		$7.87	$13.77	$18.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $23.32 / $120.00	Professional		$12.65	$23.32	$120.00
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 $15.67 / $15.67 / $15.67	Professional		$15.67	$15.67	$15.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.24 / $15.06	Professional		$6.03	$8.24	$15.06
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.35 / $12.41	Professional		$5.05	$7.35	$12.41