Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.63 / $196.62 / $516.30	Facility		$17.63	$196.62	$516.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $9.30 / $18.39	Professional		$8.40	$9.30	$18.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $13.93 / $13.93	Professional		$6.19	$13.93	$13.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $44.35 / $106.81	Facility		$17.75	$44.35	$106.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $7.12 / $7.95	Professional		$3.50	$7.12	$7.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $25.34 / $47.65	Facility		$10.80	$25.34	$47.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.74 / $12.39 / $15.61	Professional		$6.74	$12.39	$15.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $19.98 / $118.64	Professional		$10.84	$19.98	$118.64
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 $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.16 / $7.08 / $12.90	Professional		$5.16	$7.08	$12.90
United Facility/Professional Professional Modifier Low / Median / High Price $4.33 / $6.92 / $10.63	Professional		$4.33	$6.92	$10.63