Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $97.68 / $262.44	Facility		$22.80	$97.68	$262.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.45 / $18.64	Professional		$9.27	$12.45	$18.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $7.14 / $19.00	Professional		$3.85	$7.14	$19.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $60.62 / $173.23	Facility		$24.54	$60.62	$173.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $10.99 / $14.27	Professional		$3.50	$10.99	$14.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.92 / $34.97 / $65.52	Facility		$14.92	$34.97	$65.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $17.35 / $22.01	Professional		$9.32	$17.35	$22.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $27.62 / $163.99	Professional		$14.98	$27.62	$163.99
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 $18.55 / $18.55 / $18.55	Professional		$18.55	$18.55	$18.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.78 / $17.84	Professional		$7.14	$9.78	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $9.09 / $14.70	Professional		$5.99	$9.09	$14.70