Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $41.27 / $166.93	Facility		$16.91	$41.27	$166.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $25.54 / $27.24	Professional		$12.32	$25.54	$27.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.02 / $9.02	Professional		$9.02	$9.02	$9.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.32 / $48.42 / $157.93	Facility		$22.32	$48.42	$157.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.37 / $11.57	Professional		$3.50	$10.37	$11.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $36.65 / $68.50	Facility		$15.71	$36.65	$68.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.82 / $18.17 / $22.81	Professional		$9.82	$18.17	$22.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.78 / $29.08 / $120.00	Professional		$15.78	$29.08	$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 $19.54 / $19.54 / $19.54	Professional		$19.54	$19.54	$19.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.29 / $18.79	Professional		$7.52	$10.29	$18.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $30.06 / $30.06	Facility		$8.66	$30.06	$30.06
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.57 / $17.55	Professional		$6.31	$9.57	$17.55