Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $30.23 / $113.92	Facility		$15.29	$30.23	$113.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $20.50 / $24.00	Professional		$10.86	$20.50	$24.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $40.35 / $139.09	Facility		$19.19	$40.35	$139.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.14 / $10.19	Professional		$3.50	$9.14	$10.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $32.40 / $61.05	Facility		$13.84	$32.40	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $16.11 / $20.41	Professional		$8.65	$16.11	$20.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $25.63 / $109.70	Professional		$13.90	$25.63	$109.70
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 $17.21 / $17.21 / $17.21	Professional		$17.21	$17.21	$17.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $9.08 / $16.55	Professional		$6.62	$9.08	$16.55
United Facility/Professional Facility Modifier Low / Median / High Price $7.63 / $26.48 / $26.48	Facility		$7.63	$26.48	$26.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $8.43 / $15.46	Professional		$5.56	$8.43	$15.46