Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.74 / $64.97 / $118.80	Facility		$20.74	$64.97	$118.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $11.92 / $23.04	Professional		$9.93	$11.92	$23.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $15.89	Professional		$6.62	$6.62	$15.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $81.96 / $227.46	Facility		$18.13	$81.96	$227.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.19 / $13.24	Professional		$3.50	$10.19	$13.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $32.47 / $61.05	Facility		$14.61	$32.47	$61.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $16.11 / $20.14	Professional		$8.65	$16.11	$20.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $23.17 / $149.69	Professional		$13.50	$23.17	$149.69
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 $22.76 / $22.76 / $22.76	Facility		$22.76	$22.76	$22.76
United Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $8.43 / $13.64	Professional		$5.56	$8.43	$13.64