Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.21 / $32.89 / $127.68	Facility		$16.21	$32.89	$127.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.84 / $19.78	Professional		$9.36	$12.84	$19.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $8.65 / $8.65	Professional		$8.65	$8.65	$8.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $46.65 / $151.51	Facility		$21.08	$46.65	$151.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.54 / $11.10	Professional		$3.50	$10.54	$11.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.05 / $34.97 / $67.01	Facility		$15.05	$34.97	$67.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $17.76 / $22.20	Professional		$9.41	$17.76	$22.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $27.86 / $152.91	Professional		$15.13	$27.86	$152.91
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 $18.73 / $18.73 / $18.73	Professional		$18.73	$18.73	$18.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $9.86 / $18.01	Professional		$7.21	$9.86	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $9.36 / $14.41	Professional		$6.05	$9.36	$14.41