Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $88.35 / $187.77	Facility		$16.42	$88.35	$187.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $9.58 / $12.55	Professional		$8.27	$9.58	$12.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $16.11	Professional		$5.37	$5.37	$16.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.12 / $35.67 / $112.88	Facility		$16.12	$35.67	$112.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.86 / $8.27	Professional		$3.50	$7.86	$8.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $26.42 / $49.14	Facility		$11.22	$26.42	$49.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $12.51 / $16.53	Professional		$7.02	$12.51	$16.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $20.78 / $103.95	Professional		$11.28	$20.78	$103.95
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 $13.96 / $13.96 / $13.96	Professional		$13.96	$13.96	$13.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.37 / $13.43	Professional		$5.37	$7.37	$13.43
United Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $7.35 / $10.74	Professional		$4.51	$7.35	$10.74