Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $77.93 / $215.16	Facility		$21.40	$77.93	$215.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.56 / $24.50	Professional		$10.64	$12.56	$24.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $19.00 / $21.59	Professional		$7.20	$19.00	$21.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $60.49 / $148.99	Facility		$24.46	$60.49	$148.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.53 / $11.08	Professional		$3.50	$10.53	$11.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $34.97 / $65.52	Facility		$15.05	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $17.35 / $22.01	Professional		$9.40	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.11 / $26.12 / $103.56	Professional		$15.11	$26.12	$103.56
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 $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.28 / $7.91 / $17.98	Professional		$5.28	$7.91	$17.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $8.63 / $16.80	Professional		$6.04	$8.63	$16.80