Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $51.03 / $164.64	Facility		$15.53	$51.03	$164.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.60 / $18.84	Professional		$9.02	$11.60	$18.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $15.46 / $17.39	Professional		$6.44	$15.46	$17.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.67 / $40.35 / $135.40	Facility		$18.67	$40.35	$135.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $9.42 / $9.92	Professional		$3.50	$9.42	$9.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $31.54 / $59.56	Facility		$13.46	$31.54	$59.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $15.69 / $19.61	Professional		$8.41	$15.69	$19.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $24.54 / $153.43	Professional		$13.52	$24.54	$153.43
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 $16.73 / $16.73 / $16.73	Professional		$16.73	$16.73	$16.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $8.84 / $16.10	Professional		$4.73	$8.84	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $8.36 / $13.27	Professional		$5.41	$8.36	$13.27