Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $99.50 / $202.04	Facility		$14.63	$99.50	$202.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $8.42 / $11.01	Professional		$7.74	$8.42	$11.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $5.66 / $12.74	Professional		$4.72	$5.66	$12.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $40.52 / $97.78	Facility		$16.23	$40.52	$97.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.71 / $7.27	Professional		$3.50	$6.71	$7.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $23.02 / $43.18	Facility		$9.86	$23.02	$43.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $11.56 / $14.45	Professional		$6.17	$11.56	$14.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $18.26 / $131.22	Professional		$9.91	$18.26	$131.22
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 $12.27 / $12.27 / $12.27	Professional		$12.27	$12.27	$12.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $6.48 / $11.80	Professional		$4.72	$6.48	$11.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.96 / $6.14 / $9.72	Professional		$3.96	$6.14	$9.72