Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $34.06 / $99.87	Facility		$15.66	$34.06	$99.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $11.65 / $22.74	Professional		$8.69	$11.65	$22.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $17.62 / $19.57	Professional		$6.53	$17.62	$19.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $41.16 / $137.18	Facility		$18.92	$41.16	$137.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.27 / $10.05	Professional		$3.50	$9.27	$10.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $31.54 / $59.56	Facility		$13.63	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $16.11 / $20.14	Professional		$8.52	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $24.86 / $127.13	Professional		$13.70	$24.86	$127.13
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 $16.97 / $16.97 / $16.97	Professional		$16.97	$16.97	$16.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.53 / $7.18 / $13.33	Professional		$6.53	$7.18	$13.33
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $8.01 / $13.05	Professional		$5.48	$8.01	$13.05