Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $61.79 / $98.57	Facility		$15.99	$61.79	$98.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $11.07 / $14.87	Professional		$9.28	$11.07	$14.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $6.20 / $18.59	Professional		$3.35	$6.20	$18.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $37.65 / $130.22	Facility		$17.96	$37.65	$130.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $8.81 / $9.53	Professional		$3.50	$8.81	$9.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $30.54 / $56.58	Facility		$12.94	$30.54	$56.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $14.18 / $19.10	Professional		$8.09	$14.18	$19.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $23.97 / $125.00	Professional		$13.01	$23.97	$125.00
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 $16.11 / $16.11 / $16.11	Professional		$16.11	$16.11	$16.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.50 / $15.49	Professional		$5.00	$8.50	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $8.43 / $14.46	Professional		$5.20	$8.43	$14.46